Doctor Name: | MR. JELANI YOUNG |
NPI Number: | 1932471729 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CPHT |
License Number: | RPT14148 |
Business Practice Address: | 7662 Sw 58th Ln 233 Gainesville, FL - 326084578 |
Business Phone Number: | 3525750873 |
Business Fax Number: | |
Mailing Address: | 7662 Sw 58th Ln, 233 GAINESVILLE |
State: | FL |
Postal Code: | 326084578 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/08/2012 |
NPI Last Update Date: | 02/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 183700000X |
License Number: | RPT14148 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacy Technician |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |