IndividualActive
Ian Gaspar
NPI 1083995534 · Pharmacist · Keesler Afb, MS
Provider details
- NPI number
- 1083995534
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 26021793A (IN)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
301 Fisher St
Keesler Afb, MS 39534-2508
Phone: (228) 376-4965
Approximate (ZIP-level) locationGet directions
Mailing address
301 Fisher St
Keesler Afb, MS 39534-2508
Registry dates
- Enumerated
- 2011-08-29
- Last updated
- 2018-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.