Individual
JEREMY GORMAN RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
839 S MAIN ST, LONDON, KY 40741-1996
(606) 864-7368
Mailing address
411 PARKSIDE RD, LONDON, KY 40744-9368
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019379
KY
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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