Individual
MR. ROSS KEVIN TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
2015 STATE ST, NEW ALBANY, IN 47150-4921
(812) 945-0535
Mailing address
2864 HENRIOTT RD, GEORGETOWN, IN 47122-9511
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26019627A
IN
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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