Individual
CHAD STUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
152 COLLINS CIR, PRESTONSBURG, KY 41653-7913
(606) 886-3884
Mailing address
96 DANIELS CRK, BANNER, KY 41603-9039
(606) 226-2589
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
018811
KY
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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