Brian Douglas Roark, PHARMD

NPI #1407363815 in Jackson, Kentucky

Provider Information

NPI Number: 1407363815
Entity Type: Individual
Name: Brian Douglas Roark, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Jan 8, 2018
Last Updated: Jan 8, 2018

Practice Location

Address: 59 HIGHWAY 15 N
City: Jackson
State: Kentucky
ZIP Code: 41339-9631
Phone: (606) 666-2883

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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