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Individual

DR. MARY KATHLEEN LAKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D

Contact information

Practice address
13675 HIGHWAY 43, RUSSELLVILLE, AL 35653-2831
(256) 332-7394
Mailing address
1830 BAILEY LN, RUSSELLVILLE, AL 35654-3289

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18717
AL

Other

Enumeration date
06/26/2017
Last updated
06/26/2017
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