Individual
NICOLE JASPERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7910 E WASHINGTON ST, INDIANAPOLIS, IN 46219-6803
(800) 777-7775
Mailing address
301 S HIGHLAND AVE, APARTMENT 704, PITTSBURGH, PA 15206-5247
(317) 964-9852
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
26026333A
IN
183500000X
Pharmacist
Primary
RP450166
PA
Other
Enumeration date
09/24/2015
Last updated
07/21/2022
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