Individual
DR. TIMOTHY EUGENE FUQUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
3346 NEVIUS DR, LEXINGTON, KY 40513-1019
(859) 224-4005
Mailing address
3346 NEVIUS DR, LEXINGTON, KY 40513-1019
(859) 224-4005
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
010329
KY
Other
Enumeration date
04/09/2009
Last updated
04/09/2009
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