Individual
MR. JERRY CURTIS BAILEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
3013 CLEVELAND AVE SW, CANTON, OH 44707-3625
(330) 484-9310
(330) 484-9318
Mailing address
3013 CLEVELAND AVE SW, CANTON, OH 44707-3625
(330) 484-9310
(330) 484-9318
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03-3-17124
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30-3-17124
PHARMACIST
OH
Enumeration date
10/19/2005
Last updated
07/08/2007
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