Provider Demographics
NPI:1154610509
Name:NASON, KYONA (PHARMD)
Entity type:Individual
Prefix:
First Name:KYONA
Middle Name:
Last Name:NASON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1653 S VALLEY FORGE RD
Mailing Address - Street 2:REAR APT
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-5464
Mailing Address - Country:US
Mailing Address - Phone:207-251-3418
Mailing Address - Fax:
Practice Address - Street 1:7719 MAIN ST
Practice Address - Street 2:
Practice Address - City:FOGELSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18051-1600
Practice Address - Country:US
Practice Address - Phone:610-391-0922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-06
Last Update Date:2011-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP444487183500000X
MAPH232943183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist