IndividualActive
Maynard Spurlock, PHARMD
NPI 1184353906 · Pharmacist · La Grange, KY
Maynard Spurlock, PHARMD is a Pharmacist provider in La Grange, KY (NPI 1184353906).
Provider details
- NPI number
- 1184353906
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- 015042 (KY)
Practice location
1025 New Moody Ln
La Grange, KY 40031-9154
Phone: (502) 222-3352
Street-level locationGet directions
Mailing address
1025 New Moody Ln
La Grange, KY 40031-9154
Registry dates
- Enumerated
- 2022-06-07
- Last updated
- 2022-06-07
- Certified
- 2021-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.