Individual
KRISTI L HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1121 S US HIGHWAY 25E, BARBOURVILLE, KY 40906-8005
(606) 545-7314
(606) 545-5417
Mailing address
3020 HAMMONS FORK RD, WOOLLUM, KY 40906-8730
(606) 546-3020
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
014449
KY
183500000X
Pharmacist
26020154A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014449
KENTUCKY BOARD OF PHARMACY LICENSE NUMBER
KY
01
—
26020154A
INDIANA PHARMACIST LICENSE
IN
Enumeration date
09/28/2011
Last updated
09/28/2011
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