Individual
MR. JASON R WHITLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1700 E 19TH ST, CO PHARMACY, THE DALLES, OR 97058-3317
(541) 296-7752
Mailing address
1700 E 19TH ST, CO PHARMACY, THE DALLES, OR 97058-3317
(541) 296-7752
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
0011070
OR
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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