Individual
MR. JERRY RICKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
728 S MAIN ST, MADISONVILLE, KY 42431-3069
(270) 821-8500
Mailing address
4045 COLLEGE HEIGHTS DR, MADISONVILLE, KY 42431-9180
(270) 821-2586
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7756
KY
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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