NPI 1003070616

Jason Nathaniel Roe, PHARMD

Practitioner Pharmacist West Palm Bch, FL

Practice location

Address: 6901 Okeechobee Blvd, West Palm Bch, FL 33411-2511
Phone: (561) 683-6966
Fax: (561) 683-6966

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PS40255 (FL)

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Registry record

NPI: 1003070616
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jul 2008
Record last updated: 12 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.