Individual
JUSTIN DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1181 MAIN ST, MUNFORDVILLE, KY 42765-9433
(270) 524-0020
Mailing address
491 ARLINGTON DR, ELIZABETHTOWN, KY 42701-4726
(270) 872-5045
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
015511
KY
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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