LARRY T FORTENBERRY

PIKEVILLE, KY
NPI1861468472
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: KY  10701)
Enumeration Date2006-02-23
Last Update Date2007-07-08
Business Address
-- LARRY T FORTENBERRY rph
95 WEDDINGTON BRANCH RD
PIKEVILLE, KY 41501-3203
Phone number: 606-432-2424
Mailing Address
-- LARRY T FORTENBERRY rph
PO BOX 734
PIKEVILLE, KY 41502-0734
Phone number: 606-432-6860
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