IndividualActive
Willie Jennings, R.PH., FASCP
NPI 1184839417 · Geriatric Pharmacist · Burlington, NC
Provider details
- NPI number
- 1184839417
- Entity type
- Individual
- Primary specialty
- Geriatric PharmacistPharmacy Service Providers
- Credential
- R.PH., FASCP
- Sex
- Male
- Sole proprietor
- No
- License
- 4449 (NC)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
138 Maple Ave
Burlington, NC 27215-5847
Phone: (336) 226-1663
Approximate (ZIP-level) locationGet directions
Mailing address
4364 Sartin Rd
Burlington, NC 27217-7522
Registry dates
- Enumerated
- 2007-05-11
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.