Individual
DR. JASON SOUTHWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4102 BEN FRANKLIN BLVD, DURHAM, NC 27704
(919) 972-7719
(919) 972-7721
Mailing address
4102 BEN FRANKLIN BOULEVARD, DURHAM, NC 27704-2140
(919) 972-7719
(919) 972-7721
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13903
NC
3336C0003X
Community/Retail Pharmacy
14673
NC
Other
Enumeration date
10/30/2009
Last updated
06/14/2024
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