Individual
AMANDA JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12504 US ROUTE 60, ASHLAND, KY 41102-9687
(606) 929-9360
Mailing address
6029 DEE CT, ASHLAND, KY 41102-8343
(606) 694-8081
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
012051
KY
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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