Individual
MS. SUE ELLEN WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1755 NORTH HIGHWAY 27, WHITLEY CITY, KY 42653-0517
(606) 376-7171
(606) 376-7178
Mailing address
PO BOX 517, WHITLEY CITY, KY 42653-0517
(606) 376-7171
(606) 376-7178
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8033
KY
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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