Individual
ALAA TLAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3028 HUNTING CREEK DR, BOWLING GREEN, KY 42104-4620
(270) 320-1320
Mailing address
3028 HUNTING CREEK DR, BOWLING GREEN, KY 42104-4620
(270) 320-1320
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
018211
KY
Other
Enumeration date
12/23/2015
Last updated
12/23/2015
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