Most Relevant Information
Provider Data
| NPI Number: | 1003662743 |
| Provider Name: | ANDREW JAMES PATAG PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/24/2024 |
| Last Updated: | 04/24/2024 |
Provider Practice Location
789 SOUTH LIMESTONE STREET TODD 247
LEXINGTON
KY
405360001
Practice Location Phone/Fax
| Phone: | 8592132003 |
| Fax: |
Provider Mailing Location
789 SOUTH LIMESTONE STREET TODD 247
LEXINGTON
KY
405360001
Provider Mailing Phone/Fax
| Phone: | 8592132003 |
| Fax: |