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1336739663
SHAD J SUTHERLAND
ELIZABETHTOWN, KY
NPI
1336739663
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: KY 018449)
Enumeration Date
2021-01-20
Last Update Date
2021-01-20
Business Address
SHAD J SUTHERLAND RPH
1028 N DIXIE AVE
ELIZABETHTOWN, KY 42701-2508
Phone number: 270-982-0303
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Mailing Address
SHAD J SUTHERLAND RPH
415 POLIE HANDY RD
CANMER, KY 42722-9445
Phone number: 404-824-0187
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