Individual
DR. JASON WILLIAM SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18591 N 59TH AVE, GLENDALE, AZ 85308-1251
(602) 789-1166
Mailing address
7100 W GRANDVIEW RD APT 2046, PEORIA, AZ 85382-4919
(509) 434-6816
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S024187
AZ
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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