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Organization
WYOMING PHARMACIES LLC
Active
Organization
WYOMING PHARMACIES LLC
Active
Other names
Kentuckiana Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASSAD T NASR (PHARMACIST)
(812) 590-2355
Entity
Organization
Contact information
Practice address
443 SPRING ST, SUITE 303, JEFFERSONVILLE, IN 47130-4494
(812) 590-2355
(812) 590-3355
Mailing address
443 SPRING ST, SUITE 303, JEFFERSONVILLE, IN 47130-4494
(812) 590-2355
(812) 590-3355
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201273380A
—
IN
Enumeration date
11/12/2014
Last updated
04/06/2015
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