Individual
JAN MYERS SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117 N MAIN ST, GREENVILLE, KY 42345-2902
(270) 338-3800
(270) 338-3807
Mailing address
117 N MAIN ST, GREENVILLE, KY 42345-2902
(270) 338-3800
(270) 338-3807
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
08205
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08205
PHARMACIST LICENSE NUMBER
KY
Enumeration date
08/25/2010
Last updated
08/25/2010
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