Individual
JENNIFER M MARCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 CRESLEY BRANCH ROAD, ULYSSES, KY 41224
(606) 673-1161
Mailing address
120 CRESLEY BRANCH ROAD, ULYSSES, KY 41224
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
012903
KY
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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