Individual
BRYAN-LEE AUSTIN TRENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
28402 US HIGHWAY 119, SOUTH WILLIAMSON, KY 41503-3924
(606) 237-4443
Mailing address
78 CLUSTER DR, WHARNCLIFFE, WV 25651-7231
(304) 664-8070
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
I15347
KY
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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