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Individual

TREVOR JACOB MULLINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
226 MEDICAL PLAZA LN, WHITESBURG, KY 41858-7425
(606) 633-4871
Mailing address
4542 HIGHWAY 343, MC ROBERTS, KY 41835-9061
(606) 832-2879

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
020004
KY

Other

Enumeration date
07/19/2018
Last updated
09/24/2024
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