Provider Demographics
NPI:1700772068
Name:ASPRER, WILFRED ANDREW JR
Entity type:Individual
Prefix:
First Name:WILFRED
Middle Name:ANDREW
Last Name:ASPRER
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:354 PINTO CT
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94591-3696
Mailing Address - Country:US
Mailing Address - Phone:707-567-1172
Mailing Address - Fax:
Practice Address - Street 1:210 AMERICAN CANYON RD
Practice Address - Street 2:
Practice Address - City:AMERICAN CANYON
Practice Address - State:CA
Practice Address - Zip Code:94503-3004
Practice Address - Country:US
Practice Address - Phone:707-557-0103
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-14
Last Update Date:2025-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH90763183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist