Individual
GLISTINA GULLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1859 BYPASS RD, WINCHESTER, KY 40391-2713
(859) 744-6055
(859) 744-6426
Mailing address
840 WADES MILL RD, WINCHESTER, KY 40391-9632
(606) 422-5888
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
012869
KY
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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