Provider Demographics
NPI:1124508338
Name:SHOFNER, BRITTANY NOEL (PHARMD, RPH)
Entity type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:NOEL
Last Name:SHOFNER
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:NOEL
Other - Last Name:KING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:311 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LEITCHFIELD
Mailing Address - State:KY
Mailing Address - Zip Code:42754-2230
Mailing Address - Country:US
Mailing Address - Phone:270-259-2474
Mailing Address - Fax:270-287-9524
Practice Address - Street 1:311 N MAIN ST
Practice Address - Street 2:
Practice Address - City:LEITCHFIELD
Practice Address - State:KY
Practice Address - Zip Code:42754-2230
Practice Address - Country:US
Practice Address - Phone:270-259-2474
Practice Address - Fax:270-287-9524
Is Sole Proprietor?:No
Enumeration Date:2018-08-16
Last Update Date:2022-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY022155183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist