Individual
SPENSER CLAIBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1261 US HIGHWAY 27 N, STANFORD, KY 40484-9750
(606) 365-9191
Mailing address
171 WOODLAND DR, SOMERSET, KY 42501-1351
(615) 388-5020
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019874
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019874
PHARMACIST LICENSE NUMBER
KY
Enumeration date
08/22/2018
Last updated
08/22/2018
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