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NPI Code Detail

MEDICARE: DR. JASON CORNEIL GARRETT PHARM.D

MEDICARE: DR. JASON CORNEIL GARRETT PHARM.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist13652AL

General Provider Information

NPI Number : 1740527688
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JASON CORNEIL GARRETT PHARM.D
Provider Business Mailing Address
First Line : 1101 SOUTHVIEW LN
Second Line :
City : TUSCALOOSA
State : AL
Zip : 35405-6389
Country : US
Telephone Number : 205-547-7715
Fax Number : 205-247-7720
Provider Business Practice Location Address
First Line : 1101 SOUTHVIEW LN
Second Line :
City : TUSCALOOSA
State : AL
Zip : 35405-6389
Country : US
Telephone Number : 205-547-7715
Fax Number : 205-247-7720
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2013
Last Update Date : 01/11/2013

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