Individual
JESIKA DEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
101 TOWN AND COUNTRY LN, HAZARD, KY 41701-9524
(606) 435-0460
Mailing address
PO BOX 182, COMBS, KY 41729-0182
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
023523
KY
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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