Individual
MRS. AMANDA BAKER MASTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
100 PROFESSIONAL DR, SUITE 2 PARKWAY DRUG, LONDON, KY 40741
(606) 330-1314
(606) 864-2600
Mailing address
69 PAYTEN LANE, LONDON, KY 40744
(606) 877-9587
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
012520
KY
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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