Individual
JENNIFER DENISE MCINTYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14800 FORT CAMPBELL BLVD, OAK GROVE, KY 42262-8304
(270) 640-5848
(270) 640-5844
Mailing address
1006 CAROLINE ST, OAK GROVE, KY 42262-9153
(740) 605-8750
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
30114462
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30114462
CPHT
KY
Enumeration date
02/13/2021
Last updated
02/13/2021
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