Individual
ELIZABETH JERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3001 LONE OAK RD, PADUCAH, KY 42003-5721
(270) 994-4604
Mailing address
12540 WOODVILLE RD, KEVIL, KY 42053-9337
(270) 994-4604
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
021765
KY
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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