Individual
JULIE ANN WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 EDMONTON RD, TOMPKINSVILLE, KY 42167-9403
(270) 487-0791
Mailing address
427 CLEMENTSVILLE RD, GAMALIEL, KY 42140-9231
(270) 407-8035
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
012545
KY
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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