Individual
MR. JOE MAZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH.
Contact information
Practice address
1600 LEESTOWN RD, LEXINGTON, KY 40511-2136
(859) 259-0965
Mailing address
1600 LEESTOWN RD, LEXINGTON, KY 40511-2136
(859) 259-0965
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
010959
KY
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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