Individual
DR. JASON G POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD, BCACP
Contact information
Practice address
410 NE WALDO RD, GAINESVILLE, FL 32641-5685
(352) 265-7015
Mailing address
410 NE WALDO RD, GAINESVILLE, FL 32641-5685
(352) 265-7015
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
PS49339
FL
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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