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1396346078
TRACY LEE DOUGLAS
PADUCAH, KY
NPI
1396346078
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: KY 010307)
Enumeration Date
2020-11-08
Last Update Date
2020-11-08
Business Address
TRACY LEE DOUGLAS
3220 IRVIN COBB DR
PADUCAH, KY 42003-2196
Phone number: 270-442-6404
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Mailing Address
TRACY LEE DOUGLAS
3220 IRVIN COBB DR
PADUCAH, KY 42003-2196
Phone number: 270-442-6404
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