Southworth, Jason

Southworth, Jason is an sole proprietor health care provider with primary practice located at 4102 Ben Franklin Blvd , Durham NC 27704. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Community/Retail Pharmacy. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Southworth, Jason can be contacted via phone (919) 972-7719.

Contact Information

Primary practice address
4102 Ben Franklin Blvd Durham NC 27704
Phone: (919) 972-7719
Fax: (919) 972-7721
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 13903 North Carolina
Suppliers / Community/Retail Pharmacy 3336C0003X 14673 North Carolina

Profile Details

NPI number 1497081178
LBN Legal business name Southworth, Jason
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 30th, 2009
Last updated Jun 14th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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