Individual
KRYSTAL WICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
308 S MAYO TRL, PAINTSVILLE, KY 41240-1247
(606) 789-4950
Mailing address
376 ROBERTS BR, PAINTSVILLE, KY 41240-8642
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019349
KY
Other
Enumeration date
08/08/2017
Last updated
08/08/2017
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