Individual
JACKSON OVERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1600 LEESTOWN RD, LEXINGTON, KY 40511-2136
(859) 259-0965
Mailing address
117 N ASHLAND AVE, LEXINGTON, KY 40502-1501
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
019253
KY
Other
Enumeration date
02/03/2020
Last updated
02/03/2020
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