Craig Woodson Spears Valid NPI
Individual provider · Pharmacist · Lagrange, KY
- NPI
- 1053538553
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 007855 (KY)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-04-19
- Last updated
- 2008-10-24
Practice location
1025 New Moody Ln
Lagrange, KY 40031-9154
(502) 222-3352