Individual
TRISTAN ALEXANDER CARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1101 VETERANS DR, LEXINGTON, KY 40502-2235
(859) 233-4511
Mailing address
1101 VETERAN'S DRIVE, LEXINGTON, KY 40502-2235
(859) 233-4511
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
014464
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014464
PHARMACY LICENSE NUMBER
KY
Enumeration date
08/06/2009
Last updated
08/06/2009
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