Individual
MR. JOEL RALPH PENDERGRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2440 LONE OAK RD, PADUCAH, KY 42001
(270) 554-9600
(270) 554-8127
Mailing address
2440 LONE OAK RD, PADUCAH, KY 42001
(270) 554-9600
(270) 554-8127
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
007196
KY
Other
Enumeration date
03/04/2010
Last updated
03/04/2010
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