Individual
JASON DEAN HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
1019 CUMBERLAND FALLS HWY, KROGER PHARMACY, CORBIN, KY 40701
(606) 526-0755
(606) 526-9589
Mailing address
3020 HAMMONS FORK RD, WOOLLUM, KY 40906-8730
(606) 546-3020
(606) 546-3020
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
014450
KY
183500000X
Pharmacist
26019879A
IN
Other
Enumeration date
08/08/2012
Last updated
08/08/2012
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