Individual
DR. CASEY ENDICOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3332 LYON DR, LEXINGTON, KY 40513-1066
(606) 367-0336
Mailing address
3332 LYON DR, LEXINGTON, KY 40513-1066
(606) 367-0336
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
015098
KY
Other
Enumeration date
11/19/2013
Last updated
11/19/2013
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