Individual
JONATHAN DEOREN ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
561 YOPP RD, JACKSONVILLE, NC 28540-3591
(910) 346-5121
Mailing address
561 YOPP RD, JACKSONVILLE, NC 28540-3591
(910) 346-5121
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25183
NC
Other
Enumeration date
03/03/2017
Last updated
02/13/2025
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