Individual
BROADUS FITZHUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4230 SARON DR, LEXINGTON, KY 40515-6300
(859) 272-1201
(859) 272-1194
Mailing address
4230 SARON DR, LEXINGTON, KY 40515-6300
(859) 272-1201
(859) 272-1194
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
016512
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016512
STATE LICENSE
KY
Enumeration date
10/27/2020
Last updated
10/27/2020
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