Individual
AMANDA FEREBEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
305 LANGDON ST, SOMERSET, KY 42503-2750
(606) 678-3336
Mailing address
157 DERBY DR, COLUMBIA, KY 42728-8999
(606) 678-3336
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
012923
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012923
KENTUCKY BOARD OF PHARMACY LICENSE NUMBER
KY
Enumeration date
04/12/2017
Last updated
04/12/2017
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