Individual
JASON S BEALS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
11901 STANDIFORD PLAZA DR, LOUISVILLE, KY 40229-5906
(502) 968-6766
(502) 968-6744
Mailing address
11901 STANDIFORD PLAZA DR, LOUISVILLE, KY 40229-5906
(502) 968-6766
(502) 968-6744
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017353
KY
183500000X
Pharmacist
26026283A
IN
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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