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Individual

DR. ANDREW MICHAEL BOARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
1100 HANSEL AVE, FLORENCE, KY 41042-4869
(859) 371-2245
Mailing address
1100 HANSEL AVE, FLORENCE, KY 41042-4869
(859) 371-2245

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
019287
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
019287
KY BOARD OF PHARMACY
KY
Enumeration date
11/19/2020
Last updated
11/19/2020
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