Individual
MR. PAUL ANTHONY WALICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
851 IRELAND AVE, IRELAND ARMY COMMUNITY HOSPITAL, FORT KNOX, KY 40121-2722
(502) 624-9777
Mailing address
817 PALOMINO LN, LEXINGTON, KY 40503-5458
(859) 523-5475
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
013884
KY
Other
Enumeration date
09/18/2008
Last updated
09/18/2008
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