Provider Demographics
NPI:1275749517
Name:COX, JENNIFER BURR (RPH)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:BURR
Last Name:COX
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:443 FISHER FARM CT
Mailing Address - Street 2:
Mailing Address - City:CHINA GROVE
Mailing Address - State:NC
Mailing Address - Zip Code:28023-6762
Mailing Address - Country:US
Mailing Address - Phone:704-855-2199
Mailing Address - Fax:
Practice Address - Street 1:1113 N MAIN ST
Practice Address - Street 2:
Practice Address - City:KANNAPOLIS
Practice Address - State:NC
Practice Address - Zip Code:28081-2256
Practice Address - Country:US
Practice Address - Phone:704-932-9111
Practice Address - Fax:704-932-2270
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13289183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist