Provider Demographics
NPI:1700288438
Name:HUNSAKER, JASON (PHARMD)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:
Last Name:HUNSAKER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5752 POWELL VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:BIG STONE GAP
Mailing Address - State:VA
Mailing Address - Zip Code:24219-4124
Mailing Address - Country:US
Mailing Address - Phone:276-393-0428
Mailing Address - Fax:276-212-0212
Practice Address - Street 1:980 PARK AVE NW
Practice Address - Street 2:
Practice Address - City:NORTON
Practice Address - State:VA
Practice Address - Zip Code:24273-1821
Practice Address - Country:US
Practice Address - Phone:276-393-0428
Practice Address - Fax:276-212-0212
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-25
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC21702183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist