Individual
DR. JODY COOPER DUNGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 MEDPARK SQUARE DR STE 4, SOMERSET, KY 42503-1708
(205) 412-3863
Mailing address
25 MEDPARK SQUARE DR STE 4, SOMERSET, KY 42503-1708
(205) 412-3863
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
016075
KY
Other
Enumeration date
07/18/2012
Last updated
09/07/2021
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