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1174676480
EDWARD L BAISE
CAMPBELLSVILLE, KY
NPI
1174676480
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: KY KY8176)
Enumeration Date
2007-01-19
Last Update Date
2007-07-08
Business Address
EDWARD L BAISE PHARMACIST
325 EAST BROADWAY
CAMPBELLSVILLE, KY 42718
Phone number: 270-465-3784
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Mailing Address
EDWARD L BAISE PHARMACIST
325 EAST BROADWAY
CAMPBELLSVILLE, KY 42718
Phone number: 270-465-3784
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