Individual
DR. MISTY MAREE CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM. D.
Contact information
Practice address
312 S MAIN ST, HARTFORD, KY 42347-1129
(270) 298-3279
(270) 298-3278
Mailing address
312 S MAIN ST, HARTFORD, KY 42347-1129
(270) 298-3279
(270) 298-3278
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
013664
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013664
KENTUCKY BOARD OF PHARMAC
KY
Enumeration date
07/10/2007
Last updated
07/10/2007
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