Individual
AUSTIN MATTHEW LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
501 MARSAILLES RD, VERSAILLES, KY 40383-1911
(859) 873-4617
Mailing address
501 MARSAILLES RD, VERSAILLES, KY 40383-1911
(859) 873-4617
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019488
KY
Other
Enumeration date
09/26/2017
Last updated
09/26/2017
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