Individual
PHYLLIS REYNOLDS SPURLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R,PH.
Contact information
Practice address
671 WOLFORD AVE, LIBERTY, KY 42539-3452
(606) 787-4236
Mailing address
671 WOLFORD AVE, LIBERTY, KY 42539-3452
(606) 787-4236
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
009910
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009910
KY LICENSE NUMBER
KY
Enumeration date
08/27/2010
Last updated
08/27/2010
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