Individual
DR. JENNIFER NICOLE WALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 LONE OAK RD STE A, PADUCAH, KY 42001-4494
(270) 443-1442
Mailing address
755 LEBANON CHURCH RD, PADUCAH, KY 42003-9224
(270) 559-3216
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
021724
KY
Other
Enumeration date
01/12/2022
Last updated
01/12/2022
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