Provider Demographics
NPI:1356417885
Name:CONLEY, JASON P (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:P
Last Name:CONLEY
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1 SKIDAWAY VILLAGE WALK
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31411-2908
Mailing Address - Country:US
Mailing Address - Phone:912-598-8669
Mailing Address - Fax:912-598-7208
Practice Address - Street 1:1 SKIDAWAY VILLAGE WALK
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31411-2908
Practice Address - Country:US
Practice Address - Phone:912-598-8669
Practice Address - Fax:912-598-7208
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-27
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH020236183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist