Individual
MR. JOHN MICHAEL BRISLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.PHARM.,RPH, FIAIHC
Contact information
Practice address
1096 DUVAL ST, SUITE J, LEXINGTON, KY 40515-6219
(859) 271-8677
(866) 861-8841
Mailing address
PO BOX 25163, LEXINGTON, KY 40524-5163
(859) 271-8677
(866) 861-8841
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
8002
KY
183500000X
Pharmacist
8002
KY
1835G0303X
Geriatric Pharmacist
Primary
008002
KY
1835P1200X
Pharmacotherapy Pharmacist
8002
KY
1835P1300X
Psychiatric Pharmacist
8002
KY
Other
Enumeration date
07/31/2005
Last updated
01/28/2012
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