Individual
JASON FENKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
951 N PROMENADE PKWY, CASA GRANDE, AZ 85194-5400
(520) 413-6971
Mailing address
951 N PROMENADE PKWY, CASA GRANDE, AZ 85194-5400
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S015605
AZ
Other
Enumeration date
09/20/2014
Last updated
03/23/2015
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