Individual
GARY J. RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4644 HIGHWAY 15 W, CLAY CITY, KY 40312
(606) 663-3481
Mailing address
5 REDWING DR, WINCHESTER, KY 40391-1633
(859) 744-0796
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7473
KY
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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