Individual
ANITA J KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
30 STACY LANE RD, IRVINE, KY 40336-7356
(606) 723-0665
(606) 723-0170
Mailing address
30 STACY LANE RD, IRVINE, KY 40336-7356
(606) 723-0665
(606) 723-0170
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
012714
KY
Other
Enumeration date
09/21/2010
Last updated
06/23/2011
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