Provider Demographics
NPI:1245830603
Name:SOWARDS, JARRED ALEXANDER (PHARM D)
Entity type:Individual
Prefix:
First Name:JARRED
Middle Name:ALEXANDER
Last Name:SOWARDS
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 OAKVILLE RD
Mailing Address - Street 2:
Mailing Address - City:APPOMATTOX
Mailing Address - State:VA
Mailing Address - Zip Code:24522-8361
Mailing Address - Country:US
Mailing Address - Phone:434-352-6073
Mailing Address - Fax:434-352-6067
Practice Address - Street 1:505 OAKVILLE RD
Practice Address - Street 2:
Practice Address - City:APPOMATTOX
Practice Address - State:VA
Practice Address - Zip Code:24522-8361
Practice Address - Country:US
Practice Address - Phone:434-352-6073
Practice Address - Fax:434-352-6067
Is Sole Proprietor?:No
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202217422183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist