Individual
JASON HUMPHRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
260 LOGISTICS AVE STE B, JEFFERSONVILLE, IN 47130-4672
(800) 607-6861
(877) 258-9584
Mailing address
260 LOGISTICS AVE STE B, JEFFERSONVILLE, IN 47130-4672
(800) 607-6861
(877) 258-9584
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
017226
KY
183500000X
Pharmacist
Primary
26025968A
IN
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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