NPI 1083382519

Jason N Mardis, CPHT

Practitioner Pharmacy Technician Cypress, TX

Practice location

Address: 28550 Highway 290, Cypress, TX 77433-4288
Phone: (281) 256-6490
Fax: (281) 256-6546

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X Licence 203163 (TX)

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Registry record

NPI: 1083382519
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Aug 2021
Record last updated: 31 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.