MEDICARE: DR. JAMES JEREMY GASPER 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
1	1835P1300X	Psychiatric Pharmacist	56540	CA

General Provider Information

NPI Number	:	1598763179
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES JEREMY GASPER PHARM.D.

Provider Business Mailing Address
First Line	:	1380 HOWARD ST.
Second Line	:	2ND FLOOR
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94103
Country	:	US
Telephone Number	:	415-255-3705
Fax Number	:

Provider Business Practice Location Address
First Line	:	1380 HOWARD ST
Second Line	:	2ND FLOOR
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94103-2638
Country	:	US
Telephone Number	:	415-255-3705
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	07/08/2007

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