Individual
DR. JAKE RICHARD CORMIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
10401 W THUNDERBIRD BLVD, SUN CITY, AZ 85351-3004
(623) 832-4000
Mailing address
4130 W CALAVAR RD, PHOENIX, AZ 85053-5364
(719) 480-0755
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S026579
AZ
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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