Individual
MARK WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1000 S LIMESTONE, LEXINGTON, KY 40536-0001
(859) 257-1000
Mailing address
4475 COMBS FERRY RD, WINCHESTER, KY 40391-9251
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/28/2020
Last updated
03/29/2020
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