Individual
DILLON JAMES KENNETH LEISURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
179 W COLLEGE AVE, STANTON, KY 40380-2227
(606) 663-2663
(606) 663-9794
Mailing address
3312 HIBERNIA PASS, LEXINGTON, KY 40509-9065
(513) 259-7862
(606) 663-9794
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
020643
KY
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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