Individual
JENNIFER LYNN MIRACLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
301 LEONARDWOOD RD, FRANKFORT, KY 40601-6531
(502) 875-4020
Mailing address
2286 CARDWELL LN, FRANKFORT, KY 40601-9086
(502) 320-1873
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
011523
KY
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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