Individual
MR. MARK V. SLUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
2201 LEXINGTON AVE, KINGS DAUGHTERS HOSPITAL PHARMACY, ASHLAND, KY 41101-0000
(606) 408-4641
Mailing address
2518 DAWES ST, ASHLAND, KY 41102-4744
(606) 923-9609
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
007041
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007041
STATE PHARMACIST LICENSE
KY
Enumeration date
08/08/2012
Last updated
08/08/2012
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