Individual
JONATHAN PERDUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
222 MEDICAL CIR, MOREHEAD, KY 40351-1179
(606) 783-6742
Mailing address
170 BLUESTONE RD APT 2, MOREHEAD, KY 40351-6018
(606) 831-8163
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017575
KY
Other
Enumeration date
09/18/2017
Last updated
09/18/2017
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