Mayes, Lisa

Mayes, Lisa is an individual health care provider with primary practice located at 1220 Richmond Rd , Irvine KY 40336-7232. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Mayes, Lisa can be contacted via phone (606) 723-5315.

Contact Information

Primary practice address
1220 Richmond Rd Irvine KY 40336-7232
Phone: (606) 723-5315
Fax: (606) 723-8669
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 010641 Kentucky

Profile Details

NPI number 1831472836
LBN Legal business name Mayes, Lisa
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2011
Last updated Dec 11th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831472836 NPPES
Kentucky Other 010641 PHARMACY LICENSE

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