Individual
MAYCE VINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5979 DESERT STORM AVE, FORT CAMPBELL, KY 42223-5514
(270) 798-5420
Mailing address
5979 DESERT STORM AVE, FORT CAMPBELL, KY 42223-5514
(270) 798-4677
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
020885
KY
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
020885
KY
Other
Enumeration date
07/02/2021
Last updated
01/08/2025
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