Individual
LIA M JASPERSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD.
Contact information
Practice address
200 WEST HOSPITAL DRIVE, WHITERIVER, AZ 85941
(928) 338-3502
(928) 338-3510
Mailing address
PO BOX 860, WHITERIVER, AZ 85941-0860
(928) 338-3502
(928) 338-3510
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
17160
OK
183500000X
Pharmacist
Primary
RP00008556
NM
Other
Enumeration date
07/31/2017
Last updated
07/31/2017
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