Individual
MARISSA MARCINEK BOELHAUF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
3349 TATES CREEK RD, LEXINGTON, KY 40502-3467
(859) 266-0413
Mailing address
568 FOLKSTONE DR, LEXINGTON, KY 40517-4214
(859) 619-5439
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
015462
KY
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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