Individual
JASON MARC MAILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
436 5TH AVENUE, KOTZEBUE, AK 99752
(907) 442-7182
Mailing address
PO BOX 962, KOTZEBUE, AK 99752-0962
(802) 782-6852
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
033.0134736
VT
183500000X
Pharmacist
Primary
199982
AK
Other
Enumeration date
08/29/2022
Last updated
01/04/2023
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