Individual
DR. JEREMY A. SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
51 WEST 3RD STREET, SUITE 501, TEMPE, AZ 85281
(480) 317-6780
Mailing address
215 W. PORTLAND ST. #347C, PHOENIX, AZ 85003
(602) 615-2203
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15462
AZ
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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