IndividualActive
Abby Bomar
NPI 1194559872 · Pharmacist · Fulton, KY
Provider details
- NPI number
- 1194559872
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 48163 (TN)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
1405 Middle Rd
Fulton, KY 42041-7905
Phone: (270) 472-1426
Approximate (ZIP-level) locationGet directions
Mailing address
720 Old Springville Rd
Springville, TN 38256-4928
Registry dates
- Enumerated
- 2024-08-27
- Last updated
- 2024-08-27
- Certified
- 2024-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.