NPI 1043705973

Jericho Michael Herringshaw, PHARMD

Practitioner Pharmacist Elizabethtown, KY

Practice location

Address: 111 Towne Dr, Elizabethtown, KY 42701-8460
Phone: (270) 737-1710

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence KY014014 (KY)

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Registry record

NPI: 1043705973
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Jun 2018
Record last updated: 23 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.