Most Relevant Information
Provider Data
| NPI Number: | 1003433053 |
| Provider Name: | TRAVIS HUDNALL PHARM D |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 012590 |
Most Important Dates
| Enumeration Date: | 06/25/2020 |
| Last Updated: | 06/25/2020 |
Provider Practice Location
415 HAPPY VALLEY RD
GLASGOW
KY
421411537
Practice Location Phone/Fax
| Phone: | 2706515159 |
| Fax: |
Provider Mailing Location
137 FH ROUNDTREE
SMITHS GROVE
KY
42171
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |