Provider Demographics
NPI:1447473871
Name:HART, BILLY STEVEN (RPH)
Entity type:Individual
Prefix:MR
First Name:BILLY
Middle Name:STEVEN
Last Name:HART
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:835 LUCAS LN
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40601-8069
Mailing Address - Country:US
Mailing Address - Phone:502-695-0084
Mailing Address - Fax:502-696-3806
Practice Address - Street 1:125 HOLMES ST
Practice Address - Street 2:STATE OFFICE BUILDING ANNEX, SUITE 300
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-2108
Practice Address - Country:US
Practice Address - Phone:502-564-7910
Practice Address - Fax:502-696-3806
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2010-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY010819183500000X
TN6302183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist