Individual
DR. CHARLES MICHAEL PATRICK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
478 KY 11 N, BOONEVILLE, KY 41314-9155
(606) 560-9181
Mailing address
478 KY 11 N, BOONEVILLE, KY 41314-9155
(606) 560-9181
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
012579
KY
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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