Individual
JASON CAVINESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3411 NORTH 16TH STREET, APT 2035, PHOENIX, AZ 85016-5995
(507) 227-0536
Mailing address
3411 N 16TH ST, APT 2035, PHOENIX, AZ 85016-7150
(507) 227-0536
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18545
CO
183500000X
Pharmacist
S019365
AZ
Other
Enumeration date
09/20/2011
Last updated
09/12/2013
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