Individual
JUSTIN BRYCE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2284 VERSAILLES RD, LEXINGTON, KY 40504-1604
(859) 278-3471
Mailing address
2284 VERSAILLES RD, LEXINGTON, KY 40504-1604
(859) 278-3471
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017866
KY
Other
Enumeration date
07/10/2015
Last updated
07/10/2015
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