Individual
DR. KATIE L RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, BCOP
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 412-8968
Mailing address
800 ROSE STREET H110, LEXINGTON, KY 40536-0001
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
015490
KY
Other
Enumeration date
04/29/2012
Last updated
01/24/2019
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