Individual
GARY MCCLENDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
600 S HIGHWAY 27, SOMERSET, KY 42501-3506
(606) 677-0596
(606) 677-0297
Mailing address
600 S HIGHWAY 27, SOMERSET, KY 42501-3506
(606) 677-0596
(606) 677-0297
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
006985
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006985
KENTUCKY BOARD OF PHARMACY
KY
Enumeration date
09/28/2011
Last updated
09/28/2011
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