Pope, Jamie Liszka

Pope, Jamie Liszka is an individual health care provider with primary practice located at 2701 Freedom Dr , Charlotte NC 28208-3853. She recently has only one registered license in Pharmacy Service Providers / Geriatric, which is considered as her primary health care specialty. Pope, Jamie Liszka can be contacted via phone (704) 399-4611.

Contact Information

Primary practice address
2701 Freedom Dr Charlotte NC 28208-3853
Phone: (704) 399-4611
Fax: (704) 392-2790
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Geriatric 1835G0303X 16016 North Carolina

Profile Details

NPI number 1205023108
LBN Legal business name Pope, Jamie Liszka
Credentials PHARMD, CGP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2007
Last updated Sep 25th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205023108 NPPES
North Carolina MEDICAID 0607390

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