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1609465152
MICHAEL SOUTHALL
LEBANON, KY
NPI
1609465152
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: KY 019560)
Enumeration Date
2021-01-11
Last Update Date
2021-01-11
Business Address
-- MICHAEL SOUTHALL
325 W WALNUT ST STE 500
LEBANON, KY 40033-1379
Phone number: 270-692-3111
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Mailing Address
-- MICHAEL SOUTHALL
325 W WALNUT ST STE 500
LEBANON, KY 40033-1379
Phone number: 270-692-3111
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