Individual
DR. MISTY DAWN PREWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1 TRILLIUM WAY, CORBIN, KY 40701-8426
(606) 528-1212
(606) 523-8681
Mailing address
PO BOX 1624, CORBIN, KY 40702-1624
(606) 526-1360
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
012436
KY
183500000X
Pharmacist
12238
TN
Other
Enumeration date
02/19/2007
Last updated
07/08/2007
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