Individual
DR. DAVID STEWART PRATER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D.
Contact information
Practice address
208 LAKE ST, FULTON, KY 42041-1544
(270) 472-2984
(270) 472-9377
Mailing address
208 LAKE ST, FULTON, KY 42041-1544
(270) 472-2984
(270) 472-9377
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12011
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90005596
—
KY
Enumeration date
10/10/2005
Last updated
07/09/2007
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