Doctor Name: | DR. ARMOND MIGUEL MAYO |
NPI Number: | 1700250990 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHARMD |
License Number: | 35903 |
Business Practice Address: | 4076 Neely Rd Fort Wainwright, AK - 99703 |
Business Phone Number: | 9073615109 |
Business Fax Number: | 9073614838 |
Mailing Address: | 980 22nd Ave Unit 3, FAIRBANKS |
State: | AK |
Postal Code: | 997016573 |
Phone Number: | 2024311876 |
Fax Number: | 9073614838 |
NPI Enumeration Date: | 11/25/2015 |
NPI Last Update Date: | 11/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1835P0018X |
License Number: | 35903 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacist |
Taxonomy Specialization: | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Taxonomy Definition: | Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |