Individual
MR. SAMUEL J COLETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
118 6TH AVE, DAYTON, KY 41074-1112
(859) 491-1700
(859) 491-7680
Mailing address
640 WESTERN AVE, COVINGTON, KY 41011-1042
(859) 750-4975
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9590
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9590
KENTUCKY PHARMACIST LICEN
KY
Enumeration date
08/15/2006
Last updated
03/30/2017
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