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Individual

DR. JASON NEIL HUMPHRIES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
1300 US HIGHWAY 127 S STE E, FRANKFORT, KY 40601-4395
(502) 223-3728
(502) 223-3790
Mailing address
878 E HIGH ST, LEXINGTON, KY 40502-2135
(859) 266-1171
(859) 266-7603

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
012155
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
54012745
KY
Enumeration date
08/30/2011
Last updated
12/16/2022
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