Individual
DR. JARED WAYNE ROSWURM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
4005 E CHANDLER BLVD, PHOENIX, AZ 85048-8888
(480) 759-4479
(480) 759-8644
Mailing address
4005 E CHANDLER BLVD, PHOENIX, AZ 85048-8888
(480) 759-4479
(480) 759-8644
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15500
AZ
Other
Enumeration date
11/05/2010
Last updated
11/05/2010
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