Individual
TOMMY DEARFIELD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D
Contact information
Practice address
100 S CAROL MALONE BLVD, GRAYSON, KY 41143-1352
(606) 474-4470
Mailing address
100 S CAROL MALONE BLVD, GRAYSON, KY 41143-1352
(606) 474-4470
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017248
KY
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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