Provider Demographics
NPI:1144273574
Name:FRAZIER, AMY CATHERINE (PHARMD,RPH)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:CATHERINE
Last Name:FRAZIER
Suffix:
Gender:F
Credentials:PHARMD,RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 BLUEBERRY LN
Mailing Address - Street 2:
Mailing Address - City:MT STERLING
Mailing Address - State:KY
Mailing Address - Zip Code:40353-8108
Mailing Address - Country:US
Mailing Address - Phone:859-498-5089
Mailing Address - Fax:
Practice Address - Street 1:644 MAYSVILLE RD
Practice Address - Street 2:
Practice Address - City:MT STERLING
Practice Address - State:KY
Practice Address - Zip Code:40353-9464
Practice Address - Country:US
Practice Address - Phone:859-498-3141
Practice Address - Fax:859-498-2434
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2012-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY012144183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist