Healthcare Provider Details

I. General information

NPI: 1649376492
Provider Name (Legal Business Name): DAVID J HESTER RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

731 NORTH LAUREL RD
LONDON KY
40741
US

IV. Provider business mailing address

731 NORTH LAUREL RD
LONDON KY
40741
US

V. Phone/Fax

Practice location:
  • Phone: 606-864-2600
  • Fax: 606-877-5330
Mailing address:
  • Phone: 606-864-2600
  • Fax: 606-877-5330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number010368
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: