Individual
MR. JARED ANDREW DEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
167 NORTH MAIN STREET, TUBA CITY, AZ 86045-0600
(928) 283-2501
(928) 283-1433
Mailing address
PO BOX 600, TUBA CITY, AZ 86045-0600
(928) 283-2501
(928) 283-1433
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
2285
AK
183500000X
Pharmacist
Primary
P6844
ID
Other
Enumeration date
05/07/2015
Last updated
05/07/2015
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