Individual provider · Type 1 NPI
Jared Mason Gillingham
Pharmacist · Surprise, AZ
Practice location
19505 N Sunrise Blvd # Surprise
Surprise, AZ 85374-4739
Mailing address
10947 W Royal Palm Rd
Peoria, AZ 85345-1900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | S023318 (AZ) |
Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…
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About NPI 1285115105
Jared Mason Gillingham's National Provider Identifier is 1285115105, issued on Aug 28, 2018. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Surprise, AZ. The record was last updated on Aug 28, 2018.