Individual
MR. JESSE WILLIAM CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBAHCM
Contact information
Practice address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(602) 239-3102
(602) 239-6734
Mailing address
543 W CORONADO RD, PHOENIX, AZ 85003-1148
(602) 741-0366
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
006002
AZ
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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