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1689887580
DERONDA KAY BACK
JACKSON, KY
NPI
1689887580
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: KY 008355)
Enumeration Date
2007-05-07
Last Update Date
2007-07-08
Business Address
-- DERONDA KAY BACK RPH
842 HWY 15 N
JACKSON, KY 41339
Phone number: 606-666-7060
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Mailing Address
-- DERONDA KAY BACK RPH
PO BOX 931
JACKSON, KY 41339-0931
Phone number: 606-666-7060
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