Individual
AMY MICHELE HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
127 E MAIN ST, PROVIDENCE, KY 42450-1268
(270) 667-2049
(270) 667-7230
Mailing address
PO BOX 267, DIXON, KY 42409-0267
(270) 635-5270
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019485
KY
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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