Individual
JASON MICHAEL WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 SW 10TH AVE, TOPEKA, KS 66604-1301
(785) 354-6000
(785) 354-5004
Mailing address
1500 SW 10TH AVE, TOPEKA, KS 66604-1301
(785) 354-6000
(785) 354-5004
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
14-00854
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14-00854
REGISTERED PHARMACY TECHNICAN
KS
Enumeration date
05/22/2014
Last updated
05/22/2014
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