MICHAEL SOUTHALL

LEBANON, KY
NPI1609465152
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: KY  019560)
Enumeration Date2021-01-11
Last Update Date2021-01-11
Business Address
-- MICHAEL SOUTHALL
325 W WALNUT ST STE 500
LEBANON, KY 40033-1379
Phone number: 270-692-3111
Mailing Address
-- MICHAEL SOUTHALL
325 W WALNUT ST STE 500
LEBANON, KY 40033-1379
Phone number: 270-692-3111