EDGAR ROGERS JETER

PHOENIX, AZ
NPI1861573917
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: AZ  11825)
Enumeration Date2006-10-17
Last Update Date2007-07-08
Business Address
Mr. EDGAR ROGERS JETER RPh
4212 N 16TH ST
PHOENIX, AZ 85016-5319
Phone number: 602-263-1511
Mailing Address
Mr. EDGAR ROGERS JETER RPh
PO BOX 31001-0698
PASADENA, CA 91110-0698
Phone number: 602-263-1511
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