Individual
JANE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
215 E MAIN ST, PROVIDENCE, KY 42450-1261
(270) 667-7017
(270) 667-7735
Mailing address
215 E MAIN ST, PROVIDENCE, KY 42450-1261
(270) 667-7017
(270) 667-7735
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
009941
KY
Other
Enumeration date
12/17/2015
Last updated
12/17/2015
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