Deronda Kay Back, RPH

NPI #1689887580 in Jackson, Kentucky

Provider Information

NPI Number
1689887580
Entity Type
Individual
Name
Deronda Kay Back, RPH
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Credential
RPH
Enumeration Date
May 7, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
842 HWY 15 N
ZIP Code
41339
Phone
(606) 666-7060

Specialties & Taxonomy Codes

Specialty
Pharmacist

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