Individual
NANCY HUMPHREY MANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
800 ROSE ST, SPECIALTY PHARMACY, LEXINGTON, KY 40536-7001
(859) 218-5413
(859) 323-5861
Mailing address
800 ROSE ST, SPECIALTY PHARMACY, LEXINGTON, KY 40536-7001
(859) 218-5413
(859) 323-5861
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
0004145
WV
1835P2201X
Ambulatory Care Pharmacist
Primary
0009342
KY
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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