Individual
JASON L POE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
1405 NASHVILLE ST, SUITE A, RUSSELLVILLE, KY 42276-8850
(270) 725-9027
(270) 725-5154
Mailing address
1405 NASHVILLE ST, SUITE A, RUSSELLVILLE, KY 42276-8850
(270) 725-9027
(270) 725-5154
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
012956
KY
Other
Enumeration date
02/15/2011
Last updated
02/15/2011
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