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Individual

MR. RICHARD RAINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
265 INDUSTRIAL PARK RD, GREENSBURG, KY 42743-1400
(270) 507-6164
Mailing address
231 RAINES RD, COLUMBIA, KY 42728-8384
(270) 507-6164

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9108
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09108
KENTUCKY PHARMACIST LICENSE
KY
Enumeration date
10/17/2006
Last updated
08/15/2016
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