Individual
MRS. LISA MAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1220 RICHMOND RD, IRVINE, KY 40336-7232
(606) 723-5315
(606) 723-8669
Mailing address
1220 RICHMOND RD, IRVINE, KY 40336-7232
(606) 723-5315
(606) 723-8669
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
010641
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010641
PHARMACY LICENSE
KY
Enumeration date
09/26/2011
Last updated
12/11/2018
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