Individual
LARRY T FORTENBERRY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
95 WEDDINGTON BRANCH RD, PIKEVILLE, KY 41501-3203
(606) 432-2424
Mailing address
PO BOX 734, PIKEVILLE, KY 41502-0734
(606) 432-6860
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10701
KY
Other
Enumeration date
02/23/2006
Last updated
07/08/2007
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