Individual
MS. TINA L ROARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
652 POPLAR SPRINGS LN, LEXINGTON, KY 40515-6082
(859) 273-0222
(859) 971-3452
Mailing address
4101 TATES CREEK SHOPPING CENTER, LEXINGTON, KY 40517
(859) 273-0222
(859) 971-3452
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
010888
KY
Other
Enumeration date
06/10/2009
Last updated
06/10/2009
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