Individual
JEFFREY RUSSELL STANSBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1850 W. RIO SALADO PARKWAY, SUITE 211, TEMPE, AZ 85281
(916) 926-5182
Mailing address
10969 WOOLWICH WAY, MATHER, CA 95655
(916) 792-1587
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03237372
OH
183500000X
Pharmacist
051299865
IL
183500000X
Pharmacist
Primary
65726
CA
183500000X
Pharmacist
RPH-0015102
OR
183500000X
Pharmacist
S024817
AZ
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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