Individual
DR. TERA WHEATLEY MCINTOSH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
102 ENTERPRISE DR, FRANKFORT, KY 40601-8585
(502) 695-8899
Mailing address
102 COACH STATION RD, MIDWAY, KY 40347-9779
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12183
KY
Other
Enumeration date
09/22/2005
Last updated
07/08/2007
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