Healthcare Provider Details

I. General information

NPI: 1487950614
Provider Name (Legal Business Name): ARIN PASSMORE PHARMD.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/05/2011
Last Update Date: 01/09/2023
Certification Date: 01/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

606 BUTTERMILK PIKE
CRESCENT SPRINGS KY
41017-1302
US

IV. Provider business mailing address

606 BUTTERMILK PIKE
CRESCENT SPRINGS KY
41017-1302
US

V. Phone/Fax

Practice location:
  • Phone: 859-344-1824
  • Fax:
Mailing address:
  • Phone: 859-344-1824
  • Fax: 859-344-8204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number016824
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: