Individual
ANDREA WADE ROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 CHERRY BLOSSOM WAY # WAY7, GEORGETOWN, KY 40324-9564
(502) 570-4608
(502) 570-4610
Mailing address
1001 CHERRY BLOSSOM WAY # WAY7, GEORGETOWN, KY 40324-9564
(502) 570-4608
(502) 570-4610
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
016111
KY
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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