Organization
JASE PHARMACIES LLC
Active
Other names
Jase Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN DE GUZMAN (PIC SUPERVISOR)
(808) 673-6283
Entity
Organization
Contact information
Practice address
6142 W 9790 S, WEST JORDAN, UT 84081-5604
(888) 861-3632
Mailing address
6142 W 9790 S, WEST JORDAN, UT 84081-5604
(888) 861-3632
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
—
—
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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