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Individual

MR. JASPER WAYNE WETHINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
4951 BUSINESS PARK BOULEVARD, ANCHORAGE, AK 99503-7174
(907) 743-7203
(907) 743-7257
Mailing address
6200 ROCKHILL CIR, ANCHORAGE, AK 99507-6713
(907) 230-4801
(907) 743-7257

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
AA992
AK

Other

Enumeration date
05/11/2006
Last updated
10/15/2012
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