Individual
TINA MARIA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 FERGUSON BLVD, DRY RIDGE, KY 41035-8635
(859) 824-5091
Mailing address
20 FERGUSON BLVD, DRY RIDGE, KY 41035-8635
(859) 824-8091
(859) 824-3439
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
012013
KY
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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