Individual
DR. JARED LUKE WILEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1200
Mailing address
7510 E THOMAS RD UNIT 126, SCOTTSDALE, AZ 85251-7916
(602) 317-9450
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13844
OK
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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