Deronda Kay Back, RPH

Pharmacist · Jackson, KY

Individual Active NPI

NPI number 1689887580

Practice location

842 Hwy 15 N
Jackson, KY 41339
Phone
(606) 666-7060
Fax
(606) 666-9454

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NPI record

NPI
1689887580
Entity type
Individual (Type 1)
Enumeration date
May 7, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 008355 KY

Mailing address

PO Box 931
Jackson, KY 41339-0931
Phone
(606) 666-7060
Fax
(606) 666-9454

About Deronda Back

Deronda Kay Back, RPH is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 842 Hwy 15 N, Jackson, KY 41339. The NPI number 1689887580 was assigned on May 7, 2007 and the record was last updated on July 8, 2007.

Deronda Back lists a license in the registry: #008355 (KY) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Deronda Kay Back, RPH?

The NPI number is 1689887580.

What is the phone number of Deronda Back?

The phone number listed for the practice location is (606) 666-7060.

Where is Deronda Back located?

842 Hwy 15 N, Jackson, KY 41339.

What is the taxonomy code for Deronda Back?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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