Mondville-Davis, Jason

Mondville-Davis, Jason is an individual health care provider with primary practice located at 810 E Manhattan Blvd , Toledo OH 43608-1471. He recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as his primary health care specialty. Mondville-Davis, Jason can be contacted via phone (419) 729-2907.

Contact Information

Primary practice address
810 E Manhattan Blvd Toledo OH 43608-1471
Phone: (419) 729-2907
Fax: (419) 729-2834
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X 09315184 Ohio

Profile Details

NPI number 1427639095
LBN Legal business name Mondville-Davis, Jason
Credentials CPHT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2021
Last updated Apr 15th, 2021 - about 3 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 1427639095 NPPES
Ohio Other 09315184 OHIO BOARD OF PHARMACY
Ohio Other 30128541 OHIO BOARD OF PHARMACY

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