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1720362684
THOMAS J SHACKLETTE
LOUISVILLE, KY
NPI
1720362684
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: KY 009189)
Enumeration Date
2011-10-10
Last Update Date
2011-10-10
Business Address
-- THOMAS J SHACKLETTE RPH
3600 FERN VALLEY RD
LOUISVILLE, KY 40219
Phone number: 502-964-7114
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Mailing Address
-- THOMAS J SHACKLETTE RPH
3600 FERN VALLEY RD
LOUISVILLE, KY 40219
Phone number: 502-964-7114
Copy
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