Individual
JASON GUY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2169 MIDLAND TRL, SHELBYVILLE, KY 40065-9115
(502) 633-2115
Mailing address
2169 MIDLAND TRL, SHELBYVILLE, KY 40065-9115
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
012151
KY
Other
Enumeration date
02/04/2021
Last updated
02/04/2021
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