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1093316317
LATISHA NADINE DAVIS
JACKSON, KY
NPI
1093316317
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: KY 019090)
Enumeration Date
2020-11-03
Last Update Date
2020-11-03
Business Address
LATISHA NADINE DAVIS
1589 KY HWY 15 SOUTH
JACKSON, KY 41339
Phone number: 606-666-2622
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Mailing Address
LATISHA NADINE DAVIS
PO BOX 572
JACKSON, KY 41339-0572
Phone number: 606-207-6544
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