Individual
VICKI C DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
550 W DIXIE AVE, ELIZABETHTOWN, KY 42701-2468
(270) 982-3088
(270) 982-3096
Mailing address
550 W DIXIE AVE, ELIZABETHTOWN, KY 42701-2468
(270) 982-3088
(270) 982-3096
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
012078
KY
183500000X
Pharmacist
043896
MO
Other
Enumeration date
10/07/2011
Last updated
10/07/2011
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