Individual
TAMIKA DIANNE RISNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 RING RD, ELIZABETHTOWN, KY 42701-7984
(270) 763-0755
(270) 763-0768
Mailing address
121 WESTWIND TRL, BARDSTOWN, KY 40004-1809
(502) 507-8886
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
015539
KY
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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