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Individual

DR. JUSTIN DARRELL SANSOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
911 BYPASS RD, PIKEVILLE, KY 41501-1602
(606) 430-3500
Mailing address
65 COLEMAN RD, ELKHORN CITY, KY 41522-7864
(606) 213-7228

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
022244
KY
1835C0207X
Compounded Sterile Preparations Pharmacist
022244
KY
1835P1200X
Pharmacotherapy Pharmacist
022244
KY

Other

Enumeration date
08/25/2021
Last updated
08/07/2025
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