Individual
DR. HOLLY S DIVINE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
725 ROSE STREET, LEXINGTON, KY 40536-0082
(859) 323-9332
Mailing address
627 REGENT RD, VERSAILLES, KY 40383-1637
(859) 873-4021
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11548
KY
Other
Enumeration date
06/28/2005
Last updated
07/08/2007
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