Individual
MISS KRISTIE MICHELLE ROARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
109 E MAIN ST, WHITESBURG, KY 41858-7351
(606) 633-4488
(606) 633-4849
Mailing address
117 HIGH ST., WHITESBURG, KY 41858
(606) 633-4488
(606) 633-4849
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
010653
KY
Other
Enumeration date
12/22/2006
Last updated
07/08/2007
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