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1093084451
SUSAN MAHAN
LEXINGTON, KY
NPI
1093084451
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Former Name
SUSAN RENEE COKE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: KY 009092)
Enumeration Date
2011-12-14
Last Update Date
2011-12-14
Business Address
-- SUSAN MAHAN R.Ph.
1221 S BROADWAY
LEXINGTON, KY 40504-2701
Phone number: 859-258-4794
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Mailing Address
-- SUSAN MAHAN R.Ph.
1221 S BROADWAY
LEXINGTON, KY 40504-2701
Phone number: 859-258-4794
Copy
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