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Individual

DR. JASMINE JONATHAN CECIL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
4701 N 1ST AVE, EVANSVILLE, IN 47710-3907
(812) 464-3656
Mailing address
4701 N 1ST AVE, EVANSVILLE, IN 47710-3907
(812) 464-3656

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26028015A
IN
183500000X
Pharmacist
42533
TN
183500000X
Pharmacist
RPH031245
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26028015A
IN LICENSE PHARMACIST
01
42533
TN LICENSE
TN
01
RPH031245
GA PHARMACY LICENSE
GA
Enumeration date
08/26/2020
Last updated
08/26/2020
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