Individual
TU AU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
310 S LIMESTONE, LEXINGTON, KY 40508-3008
(859) 226-7038
Mailing address
310 S LIMESTONE, LEXINGTON, KY 40508-3008
(859) 226-7038
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/15/2016
Last updated
04/15/2016
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