MEDICARE: MRS. BARBARA S YOUNG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183700000X	Pharmacy Technician

General Provider Information

NPI Number	:	1720200413
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BARBARA S YOUNG

Provider Business Mailing Address
First Line	:	334 OAK ST
Second Line	:
City	:	LUDLOW
State	:	KY
Zip	:	41016-1417
Country	:	US
Telephone Number	:	859-431-3298
Fax Number	:	859-292-2873

Provider Business Practice Location Address
First Line	:	301 ELM ST
Second Line	:
City	:	LUDLOW
State	:	KY
Zip	:	41016-1450
Country	:	US
Telephone Number	:	859-261-2210
Fax Number	:	859-292-2873

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2007
Last Update Date	:	07/08/2007

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Directions to “ MRS. BARBARA S YOUNG ” Practice Location

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