Individual
JUSTIN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, PA-C
Contact information
Practice address
800 ROSE ST HC201, LEXINGTON, KY 40536
(859) 218-5413
(859) 323-5863
Mailing address
800 ROSE ST HC201, LEXINGTON, KY 40536
(859) 218-5413
(859) 323-5863
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
016434
KY
Other
Enumeration date
11/08/2016
Last updated
12/20/2019
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