Individual provider · Type 1 NPI

Deronda Kay Back, RPH

Pharmacist · Jackson, KY

NPI number 1689887580 Active

Practice location

842 Hwy 15 N
Jackson, KY 41339

Call (606) 666-7060 Map

Fax (606) 666-9454

Mailing address

PO Box 931
Jackson, KY 41339-0931

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X008355 (KY)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1689887580

Deronda Kay Back, RPH's National Provider Identifier is 1689887580, issued on May 7, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Jackson, KY. The record was last updated on Jul 8, 2007.