Individual
GARY DALE DARST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
1602 N DIXIE HWY, ELIZABETHTOWN, KY 42701-2682
(270) 737-3713
Mailing address
967 E MAIN ST, CECILIA, KY 42724-9624
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
012140
KY
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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