Individual
MR. JASON CONNELLY CARLE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
8280 W LOWER BUCKEYE RD, PHOENIX, AZ 85043-7405
(623) 936-6638
(623) 936-9034
Mailing address
2609 W SOUTHERN AVE, LOT 399, TEMPE, AZ 85282-4206
(602) 438-4057
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S012069
AZ
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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