Provider Demographics
NPI:1699370908
Name:HOSSLER, JASMINE MARIE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JASMINE
Middle Name:MARIE
Last Name:HOSSLER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6280 TERRACE VIEW LN SE APT B208
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98092-5569
Mailing Address - Country:US
Mailing Address - Phone:419-217-4385
Mailing Address - Fax:
Practice Address - Street 1:6280 TERRACE VIEW LN SE APT B208
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98092-5569
Practice Address - Country:US
Practice Address - Phone:419-217-4385
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-03
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH61053335183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH03438712OtherOHIO STATE BOARD OF PHARMACY
WAPH61053335OtherWASHINGTON STATE DEPARTMENT OF HEALTH