Individual
NICHOLAS BLANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
499 INDIAN MOUND DR, MOUNT STERLING, KY 40353-1096
(859) 498-1392
Mailing address
2296 MARKET GARDEN LN, LEXINGTON, KY 40509-8525
(859) 421-6078
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
018713
KY
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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