Individual
AVIANA RAINE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
397 N WALLACE WILKINSON BLVD, LIBERTY, KY 42539-3017
(606) 787-1976
Mailing address
397 N WALLACE WILKINSON BLVD, LIBERTY, KY 42539-3017
(606) 787-1976
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
025543
KY
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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