Jasen Creek, PD

NPI 1477958155 · on the registry since 2014

Practice

Address: 1430 W 1st St N
Prescott, AR 71857
Phone: (870) 887-6664
Fax: (870) 887-2968
Organisation at this address: Scpg Arkansas Llc
Super D Drug Acquisition Co.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: Pharmacist
183500000X
Licence states on file: AR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-10-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas