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Individual

DR. BRYAN WILLETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
203 E ADAIR ST, SMITHLAND, KY 42081-9164
(270) 928-2161
(270) 928-2293
Mailing address
PO BOX 10, SMITHLAND, KY 42081-0010
(270) 928-2161
(270) 928-2293

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
014635
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
014635
PHARMACIST LICENSE
KY
Enumeration date
09/21/2011
Last updated
01/30/2026
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