Individual
DONNA JEAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
275 PRESTONSBURG ST, WEST LIBERTY, KY 41472-1135
(606) 743-3425
Mailing address
PO BOX 344, WEST LIBERTY, KY 41472-0344
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
007361
KY
Other
Enumeration date
05/20/2011
Last updated
05/20/2011
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