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1407363815
BRIAN DOUGLAS ROARK
JACKSON, KY
NPI
1407363815
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: KY 019657)
Enumeration Date
2018-01-08
Last Update Date
2018-01-08
Business Address
BRIAN DOUGLAS ROARK PHARMD
59 HIGHWAY 15 N
JACKSON, KY 41339-9631
Phone number: 606-666-2883
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Mailing Address
BRIAN DOUGLAS ROARK PHARMD
316 HEMLOCK LN
BLACKEY, KY 41804-8741
Phone number: 502-381-8152
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