Individual
MRS. ALETTA CECELIA VAN ZYL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1743 ALEXANDRIA DRIVE, LEXINGTON, KY 40504-3112
(859) 278-3471
Mailing address
1743 ALEXANDRIA DRIVE, LEXINGTON, KY 40504-3112
(859) 278-3471
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
013582
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013582
KENTUCKY PHARMACY BOARD
KY
Enumeration date
10/08/2008
Last updated
10/08/2008
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