Individual
JACLYN MAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1023 ARISTIDES DR, UNION, KY 41091-8294
(859) 445-8736
Mailing address
1023 ARISTIDES DR, UNION, KY 41091-8294
(859) 445-8736
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
013650
KY
183500000X
Pharmacist
03228063-2
OH
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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