Provider Demographics
NPI:1235451337
Name:JARVIS, APRIL ROBYN (PHARMD)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:ROBYN
Last Name:JARVIS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2125 ASHLEY RIVER RD
Mailing Address - Street 2:
Mailing Address - City:WAXHAW
Mailing Address - State:NC
Mailing Address - Zip Code:28173-6921
Mailing Address - Country:US
Mailing Address - Phone:704-296-5080
Mailing Address - Fax:
Practice Address - Street 1:1993 DICKERSON BLVD
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28110-2795
Practice Address - Country:US
Practice Address - Phone:704-296-5080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-17
Last Update Date:2010-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC18419183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist