Provider Demographics
NPI:1437505666
Name:NEAL, PATRICIA ANN (PHARM D)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ANN
Last Name:NEAL
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 HAROLD POYNTER RD
Mailing Address - Street 2:
Mailing Address - City:KNOB LICK
Mailing Address - State:KY
Mailing Address - Zip Code:42154
Mailing Address - Country:US
Mailing Address - Phone:270-646-7447
Mailing Address - Fax:847-396-2712
Practice Address - Street 1:230 S L ROGERS WELLS BLVD
Practice Address - Street 2:
Practice Address - City:GLASGOW
Practice Address - State:KY
Practice Address - Zip Code:42141-1129
Practice Address - Country:US
Practice Address - Phone:270-651-7693
Practice Address - Fax:847-396-2712
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-06
Last Update Date:2016-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY115391835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care