Individual
LONI MICHELLE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D
Contact information
Practice address
310 GLADES RD, BEREA, KY 40403-1355
(859) 986-3103
(859) 986-4163
Mailing address
310 GLADES RD, BEREA, KY 40403-1355
(859) 986-3103
(859) 986-4163
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
012985
KY
Other
Enumeration date
03/23/2011
Last updated
03/23/2011
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