Provider Demographics
NPI:1184959397
Name:CHASE, JASMINE CHANTEL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JASMINE
Middle Name:CHANTEL
Last Name:CHASE
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 1:5038 E LOST DUTCHMAN BLVD
Mailing Address - Street 2:
Mailing Address - City:APACHE JUNCTION
Mailing Address - State:AZ
Mailing Address - Zip Code:85119-9597
Mailing Address - Country:US
Mailing Address - Phone:480-671-9724
Mailing Address - Fax:
Practice Address - Street 1:185 W APACHE TRL
Practice Address - Street 2:
Practice Address - City:APACHE JUNCTION
Practice Address - State:AZ
Practice Address - Zip Code:85120-3433
Practice Address - Country:US
Practice Address - Phone:480-288-2143
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-05
Last Update Date:2009-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS0169171835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric