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1467117721
MICHAEL DEAN EASTRIDGE
LEBANON, KY
NPI
1467117721
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: KY 8018)
Enumeration Date
2021-11-02
Last Update Date
2021-11-02
Business Address
MICHAEL DEAN EASTRIDGE
361 VALLEY LN
LEBANON, KY 40033-1620
Phone number: 270-699-5827
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Mailing Address
MICHAEL DEAN EASTRIDGE
361 VALLEY LN
LEBANON, KY 40033-1620
Phone number: 270-692-1801
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