Individual
JESSICA KACZOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-3310
Mailing address
1430 STONEYGATE LN, UPPER ARLINGTON, OH 43221-1555
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03127516
OH
Other
Enumeration date
08/31/2006
Last updated
02/19/2015
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