Individual
DR. MITCHELL TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
908 WALLACE AVE STE 105, LEITCHFIELD, KY 42754-1479
(270) 259-8400
Mailing address
339 CONCORD RD, FALLS OF ROUGH, KY 40119-6740
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017808
KY
Other
Enumeration date
02/04/2021
Last updated
02/04/2021
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