Provider Demographics
NPI:1316524028
Name:SINCLAIR, JARED (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JARED
Middle Name:
Last Name:SINCLAIR
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 1:270 INDUSTRIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:AL
Mailing Address - Zip Code:35983-3737
Mailing Address - Country:US
Mailing Address - Phone:256-526-6337
Mailing Address - Fax:
Practice Address - Street 1:270 INDUSTRIAL BLVD
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:AL
Practice Address - Zip Code:35983-3737
Practice Address - Country:US
Practice Address - Phone:256-526-6337
Practice Address - Fax:256-526-6342
Is Sole Proprietor?:No
Enumeration Date:2021-03-27
Last Update Date:2021-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL17394183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist