Individual
DR. CHARLES LENWOOD GORE II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
951 S MAIN ST, NICHOLASVILLE, KY 40356-2151
(859) 885-6094
(859) 885-2354
Mailing address
116 GLENRIDGE WAY, NICHOLASVILLE, KY 40356-2959
(859) 881-3830
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10534
KY
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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