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NPI Code Detail

MEDICARE: JEFFREY PALAZZO

MEDICARE:   JEFFREY  PALAZZO
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
1183500000XPharmacist19484NC

General Provider Information

NPI Number : 1952693061
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY PALAZZO
Provider Business Mailing Address
First Line : 1049 PRAIRIE ASTER CT
Second Line :
City : WAKE FOREST
State : NC
Zip : 27587-6170
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3649 SUNSET AVE
Second Line :
City : ROCKY MOUNT
State : NC
Zip : 27804-3411
Country : US
Telephone Number : 252-937-2161
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2011
Last Update Date : 05/19/2026

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Directions to “ JEFFREY PALAZZO ” Practice Location

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