Individual
MS. BETSY DEWITT MCCOLLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
627 W FOURTH ST, EASTERN STATE HOSPITAL- PHARMACY, LEXINGTON, KY 40508-1294
(859) 246-7241
(859) 246-7023
Mailing address
627 W FOURTH ST, EASTERN STATE HOSPITAL- PHARMACY, LEXINGTON, KY 40508-1294
(859) 246-7241
(859) 246-7023
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
010745
KY
Other
Enumeration date
06/29/2006
Last updated
07/08/2007
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