Individual
LARISA PETKEVICIENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
1160 U.S 68, MAYSVILLE, KY 41056-9125
(606) 564-4044
Mailing address
1160 US 68, MAYSVILLE, KY 41056-9125
(606) 564-4044
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
015113
KY
Other
Enumeration date
08/27/2010
Last updated
01/30/2014
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