Individual
JASMINE MOFFETT HENLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
CARL T. HAYDEN VA MEDICAL CENTER, 650 E. INDIAN SCHOOL ROAD, PHOENIX, AZ 85012
(602) 277-5551
Mailing address
1958 E CALLE DE CABALLOS, TEMPE, AZ 85284-2535
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
S016124
AZ
1835P1200X
Pharmacotherapy Pharmacist
Primary
3120768
AZ
Other
Enumeration date
07/25/2007
Last updated
04/15/2020
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