Individual
JASON MAX GHIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
5150 GOODMAN RD, OLIVE BRANCH, MS 38654-7903
(662) 892-3031
Mailing address
5150 GOODMAN RD, OLIVE BRANCH, MS 38654-7903
(662) 892-3031
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
38332
TN
183500000X
Pharmacist
Primary
E-13638
MS
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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