Mark Kristan Carroll, RPH

NPI #1760775175 in Grayson, Kentucky

Provider Information

NPI Number: 1760775175
Entity Type: Individual
Name: Mark Kristan Carroll, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: May 18, 2011
Last Updated: May 18, 2011

Practice Location

Address: 100 S CAROL MALONE BLVD
City: Grayson
State: Kentucky
ZIP Code: 41143-1352
Phone: (606) 474-4470

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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