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Individual

MRS. LISA MAYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
114 BRITTANY CT, LAKESIDE PARK, KY 41017-2148
(859) 341-2205
Mailing address
114 BRITTANY CT, LAKESIDE PARK, KY 41017-2148
(859) 341-2205

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
011725
KY
183500000X
Pharmacist
03122440
OH
183500000X
Pharmacist
PS38578
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
011725
BOARD OF PHARMACY
KY
01
03122440
OHIO BOARD OF PHARMACY
OH
01
PS38578
FLORIDA BOARD OF PHARMACY
FL
Enumeration date
11/01/2011
Last updated
11/01/2011
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