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NPI Code Detail

MEDICARE: DR. ALEX DAMON JASPER SR. PHARM D.

MEDICARE:  DR. ALEX DAMON JASPER SR. PHARM D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist15696AL

General Provider Information

NPI Number : 1104194752
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALEX DAMON JASPER SR. PHARM D.
Provider Business Mailing Address
First Line : 4544 SAINT STEPHENS RD
Second Line :
City : PRICHARD
State : AL
Zip : 36613-3509
Country : US
Telephone Number : 251-330-1631
Fax Number : 251-330-1637
Provider Business Practice Location Address
First Line : 4544 SAINT STEPHENS RD
Second Line :
City : PRICHARD
State : AL
Zip : 36613-3509
Country : US
Telephone Number : 251-330-1631
Fax Number : 251-330-1637
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2011
Last Update Date : 12/11/2011

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Directions to “ DR. ALEX DAMON JASPER SR. PHARM D.” Practice Location

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