Individual
MR. JARRETT WILSON SOUTHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1518 HICKORY ROCK RD, LOUISBURG, NC 27549-8187
(919) 497-0156
Mailing address
1518 HICKORY ROCK RD, LOUISBURG, NC 27549-8187
(919) 497-0156
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12267
NC
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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