Individual
PAUL PUTAREK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
679 SOUTH MAIN STREET, MADISONVILLE, KY 42431
(330) 360-7099
Mailing address
450 SIVLEY RD APT 207, HOPKINSVILLE, KY 42240-7963
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
015701
KY
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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