Provider Demographics
NPI:1700169927
Name:WESTEN, CHASE (PHARM D)
Entity type:Individual
Prefix:DR
First Name:CHASE
Middle Name:
Last Name:WESTEN
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:LARRY
Other - Middle Name:JOE
Other - Last Name:FULLER
Other - Suffix:II
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2040 S ALMA SCHOOL RD
Mailing Address - Street 2:STE 1 PMB 329
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85286
Mailing Address - Country:US
Mailing Address - Phone:602-820-9206
Mailing Address - Fax:
Practice Address - Street 1:3050 S DOBSON RD
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85248-4906
Practice Address - Country:US
Practice Address - Phone:480-284-5867
Practice Address - Fax:480-513-1814
Is Sole Proprietor?:No
Enumeration Date:2011-09-23
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS018572183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist