Individual
MR. BRYCE A CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1251 W COLUMBIA AVE, MONTICELLO, KY 42633-3177
(606) 343-0101
(606) 343-0041
Mailing address
1251 W COLUMBIA AVE, MONTICELLO, KY 42633-3177
(606) 343-0101
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017074
KY
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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