Individual
AMANDA BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28093 THOMPSON PLAZA HWY 119, SOUTH WILLIAMSON, KY 41503
(606) 237-1175
Mailing address
PO BOX 2719, SOUTH WILLIAMSON, KY 41503-2719
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017976
KY
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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