NPI 1083995534

Ian Gaspar

Practitioner Pharmacist Keesler Afb, MS

Practice location

Address: 301 Fisher St, Keesler Afb, MS 39534-2508
Phone: (228) 376-4965

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 26021793A (IN)

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Registry record

NPI: 1083995534
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Aug 2011
Record last updated: 12 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.