Individual
LISA GAYLE TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
111 TOWNE DR, ELIZABETHTOWN, KY 42701-8460
(270) 737-1710
(270) 737-1554
Mailing address
3040 DOLPHIN DR, ELIZABETHTOWN, KY 42701-7135
(270) 737-4578
(270) 737-1932
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
KY012686
KY
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
KY012686
KY
Other
Enumeration date
05/16/2018
Last updated
01/13/2020
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