Individual
PHAYAO BOESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1969 SANDERSVILLE RD, LEXINGTON, KY 40511-1063
(859) 494-1063
Mailing address
1969 SANDERSVILLE RD, LEXINGTON, KY 40511-1063
(859) 494-1063
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
018795
KY
Other
Enumeration date
10/31/2016
Last updated
10/31/2016
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