JOHN JASON STASIAK

INDIANAPOLIS, IN
NPI1699052712
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: IN  26022853a)
Additional Taxonomies183500000X Pharmacist
(Licence: AZ  s015162)
183500000X Pharmacist
(Licence: LA  pst019069-pic)
183500000X Pharmacist
(Licence: AR  pd11485)
183500000X Pharmacist
(Licence: NE  13608)
Enumeration Date2011-11-03
Last Update Date2011-11-03
Business Address
-- JOHN JASON STASIAK Pharm D
6330 E 75TH ST SUITE 322
INDIANAPOLIS, IN 46250-2777
Phone number: 800-678-7575
Mailing Address
-- JOHN JASON STASIAK Pharm D
6330 E 75TH ST SUITE 322
INDIANAPOLIS, IN 46250-2777
Phone number: