Individual provider · Type 1 NPI

Jason Basham

Pharmacist · Conway, SC

NPI number 1194181669 Active

Practice location

2219 Main St
Conway, SC 29526-3340

Fax (843) 488-4405

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X9657 (SC)
Pharmacist 183500000X011627 (KY)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1194181669

Jason Basham's National Provider Identifier is 1194181669, issued on Jan 13, 2016. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Conway, SC. The record was last updated on Jan 13, 2016.