Individual
DR. TRACY BEWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
508 W DIXIE AVE, ELIZABETHTOWN, KY 42701-2437
(270) 769-3367
Mailing address
508 W DIXIE AVE, ELIZABETHTOWN, KY 42701-2437
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
016524
KY
Other
Enumeration date
06/22/2013
Last updated
06/22/2013
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