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Individual

DAVID RUTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
797 KY 15 S, CAMPTON, KY 41301-9553
(606) 668-2273
Mailing address
797 KY 15 S, CAMPTON, KY 41301-9553

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
013667
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
013667
KY PHARMACIST LICENSE NUMBER
KY
Enumeration date
12/03/2020
Last updated
12/03/2020
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