Mark Jason White, RPH

NPI #1558616714 in Fort Knox, Kentucky

Provider Information

NPI Number: 1558616714
Entity Type: Individual
Name: Mark Jason White, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Jul 13, 2012
Last Updated: Jul 13, 2012

Practice Location

Address: 289 IRELAND AVE
City: Fort Knox
State: Kentucky
ZIP Code: 40121-5111
Phone: (502) 624-9731

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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