JASON FUNDERBURK

TEMPE, AZ
NPI1891001947
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: AZ  S017925)
Enumeration Date2010-08-27
Last Update Date2010-08-27
Business Address
JASON FUNDERBURK PHARMD
6404 S MCCLINTOCK DR
TEMPE, AZ 85283-3942
Phone number: 480-838-9200
Mailing Address
JASON FUNDERBURK PHARMD
4630 S LAKESHORE DR APT. 190
TEMPE, AZ 85282-7164
Phone number: 215-292-2373