Provider Demographics
NPI:1609167295
Name:STRICKLAND, JEFFREY D
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:D
Last Name:STRICKLAND
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 S MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-2853
Mailing Address - Country:US
Mailing Address - Phone:252-758-4104
Mailing Address - Fax:252-758-8081
Practice Address - Street 1:505 S MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-2853
Practice Address - Country:US
Practice Address - Phone:252-758-4104
Practice Address - Fax:252-758-8081
Is Sole Proprietor?:No
Enumeration Date:2011-04-29
Last Update Date:2011-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8799183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist