Clark, Andraya

Clark, Andraya is an individual health care provider with primary practice located at 289 Ireland Ave , Fort Knox KY 40121-5111. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Clark, Andraya can be contacted via phone (502) 624-9222.

Contact Information

Primary practice address
289 Ireland Ave Fort Knox KY 40121-5111
Phone: (502) 624-9222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 015101 Kentucky

Profile Details

NPI number 1033634365
LBN Legal business name Clark, Andraya
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2017
Last updated Aug 8th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers