White, Mark Jason

White, Mark Jason is an individual health care provider with primary practice located at 289 Ireland Ave , Fort Knox KY 40121-5111. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. White, Mark Jason can be contacted via phone (502) 624-9731.

Contact Information

Primary practice address
289 Ireland Ave Fort Knox KY 40121-5111
Phone: (502) 624-9731
Fax: (502) 624-0333
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 011111 Kentucky

Profile Details

NPI number 1558616714
LBN Legal business name White, Mark Jason
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2012
Last updated Jul 13th, 2012 - about 13 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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