Individual
RUTH DIANE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
100 S 6TH ST, MAYFIELD, KY 42066-2306
(270) 247-4073
(270) 251-9656
Mailing address
100 S 6TH ST, MAYFIELD, KY 42066-2306
(270) 247-4073
(270) 251-9656
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
012792
KY
183500000X
Pharmacist
044010
MO
183500000X
Pharmacist
051-039734
IL
183500000X
Pharmacist
PS23457
FL
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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