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Individual

MARK MCGRANAHAN JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
3105 N BEND RD, HEBRON, KY 41048-8523
(859) 962-4920
Mailing address
1774 NICOLE LAUREN LN, HEBRON, KY 41048-8118

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
014253
KY
183500000X
Pharmacist
03124466
OH
183500000X
Pharmacist
Primary
26020318A
IN

Other

Enumeration date
02/05/2016
Last updated
02/05/2016
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