Individual
SAMUEL JAYSON BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
101 N AIRPORT RD, JASPER, AL 35504-7530
(205) 387-0572
Mailing address
101 N AIRPORT RD, JASPER, AL 35504-7530
(205) 387-0572
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16187
AL
Other
Enumeration date
04/05/2014
Last updated
12/03/2020
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