Individual
MR. JACOBUS VIGGO DODOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. PHARM
Contact information
Practice address
1401 E FRANKLIN BLVD, GASTONIA, NC 28054-4059
(980) 320-1533
(980) 320-1534
Mailing address
1401 E FRANKLIN BLVD, GASTONIA, NC 28054-4059
(980) 320-1533
(980) 320-1534
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18801
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932586351
—
NC
Enumeration date
03/01/2011
Last updated
12/30/2021
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