Provider Demographics
NPI:1407139702
Name:EARLY, VALERIE MICHELLE (PHARMD)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:MICHELLE
Last Name:EARLY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 CARDINAL DR STE 413
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701-2795
Mailing Address - Country:US
Mailing Address - Phone:270-979-3742
Mailing Address - Fax:
Practice Address - Street 1:200 CARDINAL DR STE 413
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-2795
Practice Address - Country:US
Practice Address - Phone:270-979-3742
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-22
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0151391835P0018X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist