Individual
DR. JASON PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1645 E ROOSEVELT ST, PHOENIX, AZ 85006-3638
(602) 402-0944
Mailing address
1645 E ROOSEVELT ST, PHOENIX, AZ 85006-3638
(602) 402-0944
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
S018077
AZ
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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