Individual
JASON ALAN MULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
2659 S NC 127 HWY, HICKORY, NC 28602-9129
(828) 294-7056
Mailing address
2659 NC HWY 127 S, HICKORY, NC 28602
(828) 294-7056
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18249
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0186248
—
NC
Enumeration date
09/10/2009
Last updated
09/10/2009
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