Individual
JARED JEFFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
528 W TENNESSEE AVE, PINEVILLE, KY 40977-1437
(606) 337-1444
Mailing address
528 W TENNESSEE AVE, PINEVILLE, KY 40977-1437
(606) 337-1444
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017050
KY
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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