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NPI Code Detail

MEDICARE: DR. JONATHAN S RATLEY PHARM D.

MEDICARE: DR. JONATHAN S RATLEY PHARM D.
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
1183500000XPharmacist013322KY
2183500000XPharmacist17936MD

General Provider Information

NPI Number : 1831488634
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JONATHAN S RATLEY PHARM D.
Provider Business Mailing Address
First Line : 517 N GREEN ST
Second Line :
City : HENDERSON
State : KY
Zip : 42420-2947
Country : US
Telephone Number : 270-827-1897
Fax Number : 270-827-1809
Provider Business Practice Location Address
First Line : 517 N GREEN ST
Second Line :
City : HENDERSON
State : KY
Zip : 42420-2947
Country : US
Telephone Number : 270-827-1897
Fax Number : 270-827-1809
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2011
Last Update Date : 04/01/2011

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