Individual
DR. MARY CLAIRE ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
3692 POLO CLUB BLVD, LEXINGTON, KY 40509-8565
(901) 299-2478
Mailing address
3692 POLO CLUB BLVD, LEXINGTON, KY 40509-8565
(901) 299-2478
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
015384
KY
183500000X
Pharmacist
034232
TN
Other
Enumeration date
10/23/2011
Last updated
10/23/2011
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