Provider Demographics
NPI:1093503146
Name:FUGATE, SAVANNAH (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SAVANNAH
Middle Name:
Last Name:FUGATE
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4207 STATE ROUTE 3
Mailing Address - Street 2:
Mailing Address - City:CATLETTSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:41129-9345
Mailing Address - Country:US
Mailing Address - Phone:859-585-8796
Mailing Address - Fax:
Practice Address - Street 1:2421 WINCHESTER AVE
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41101-7835
Practice Address - Country:US
Practice Address - Phone:606-408-6000
Practice Address - Fax:606-408-6006
Is Sole Proprietor?:No
Enumeration Date:2025-04-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0200161835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care