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Individual

DR. JULIE K SPIVEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
627 W 4TH ST, LEXINGTON, KY 40508-1207
(859) 246-7430
(859) 246-7677
Mailing address
627 W 4TH ST, LEXINGTON, KY 40508-1207
(859) 246-7430
(859) 246-7677

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
013152
KY
183500000X
Pharmacist
2004003289
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
013152
KY BOARD OF PHARMACY LICENSE NUMBER
KY
01
2004003289
MISSOURI BOARD OF PHARMACY LICENSE NUMBER
MO
Enumeration date
10/06/2011
Last updated
10/06/2011
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