Individual
JASON MAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, BCACP
Contact information
Practice address
1700 DECLARATION DR, INDEPENDENCE, KY 41051-7931
(859) 898-1620
(859) 898-1621
Mailing address
1700 DECLARATION DR, INDEPENDENCE, KY 41051-7931
(859) 898-1620
(859) 898-1621
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
013622
KY
183500000X
Pharmacist
03228063
OH
Other
Enumeration date
09/01/2011
Last updated
01/29/2014
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