Jerry Richard Powell

NPI #1538769054 in Urbana, Ohio

Provider Information

NPI Number: 1538769054
Entity Type: Individual
Name: Jerry Richard Powell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Oct 26, 2020
Last Updated: Oct 26, 2020

Practice Location

Address: 3595 N STATE ROUTE 560
City: Urbana
State: Ohio
ZIP Code: 43078-9367
Phone: (937) 344-0116

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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