Individual
MR. JAMES DALE MAZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2050 HIGHWAY 11 NORTH, BOONEVILLE, KY 41314
(606) 593-0382
(606) 593-0384
Mailing address
2050 HIGHWAY 11 NORTH, PO BOX 1108, BOONEVILLE, KY 41314
(606) 593-0382
(606) 593-0384
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
006906
KY
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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