Individual
JERRY WAYNE MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
1587 COMBS RD., SUITE 2, HAZARD, KY 41701
(606) 910-0555
(606) 910-0124
Mailing address
PO BOX 135, DWARF, KY 41739-0135
(606) 378-2620
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
012909
KY
Other
Enumeration date
03/27/2011
Last updated
03/22/2021
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