Individual
CARLY PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
153 NW PARK SQ, RUSSELLVILLE, KY 42276-1335
(270) 726-7626
Mailing address
153 NW PARK SQ, RUSSELLVILLE, KY 42276-1398
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017303
KY
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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