Individual
MR. REGINALD DAVID WOOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
212 LAKE ST, FULTON, KY 42041-1544
(270) 472-2421
Mailing address
212 LAKE ST, FULTON, KY 42041-1544
(270) 472-2421
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10684
KY
183500000X
Pharmacist
6961
TN
183500000X
Pharmacist
7468
MS
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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