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NPI Code Detail

MEDICARE: JONATHAN C BOX PHARMD

MEDICARE: JONATHAN C BOX PHARMD
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
1183500000XPharmacist15055NV

General Provider Information

NPI Number : 1740574821
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONATHAN C BOX PHARMD
Provider Business Mailing Address
First Line : 7158 BEAVER CREEK RD
Second Line :
City : HARRISBURG
State : PA
Zip : 17112-9351
Country : US
Telephone Number : 702-219-2270
Fax Number :
Provider Business Practice Location Address
First Line : 4001 S MARYLAND PKWY
Second Line : T0265
City : LAS VEGAS
State : NV
Zip : 89119-7556
Country : US
Telephone Number : 702-732-1840
Fax Number : 702-732-1840
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2011
Last Update Date : 11/29/2020

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Directions to “ JONATHAN C BOX PHARMD” Practice Location

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