Provider Demographics
NPI:1508498163
Name:CHAMBERS, BOBBIE JO (RPH)
Entity Type:Individual
Prefix:MS
First Name:BOBBIE
Middle Name:JO
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MRS
Other - First Name:BOBBIE
Other - Middle Name:JO
Other - Last Name:MCCURREN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:160 ASHCREEK RD
Mailing Address - Street 2:
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42001-5860
Mailing Address - Country:US
Mailing Address - Phone:618-438-1611
Mailing Address - Fax:
Practice Address - Street 1:1225 PARIS RD
Practice Address - Street 2:
Practice Address - City:MAYFIELD
Practice Address - State:KY
Practice Address - Zip Code:42066-4989
Practice Address - Country:US
Practice Address - Phone:270-247-2280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-11
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY021932183500000X
IL051288452183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist