Individual
ALEXIS CREECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
145 CITIZENS LN STE 1, HAZARD, KY 41701-1320
(606) 439-0207
Mailing address
PO BOX 1569, HAZARD, KY 41702-1569
(606) 439-0207
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
021024
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021024
PHARMACIST LICENSE
KY
Enumeration date
08/17/2021
Last updated
08/17/2021
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