DERONDA KAY BACK

JACKSON, KY
NPI1689887580
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: KY  008355)
Enumeration Date2007-05-07
Last Update Date2007-07-08
Business Address
-- DERONDA KAY BACK RPH
842 HWY 15 N
JACKSON, KY 41339
Phone number: 606-666-7060
Mailing Address
-- DERONDA KAY BACK RPH
PO BOX 931
JACKSON, KY 41339-0931
Phone number: 606-666-7060