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Individual

JERICHO MICHAEL HERRINGSHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
111 TOWNE DR, ELIZABETHTOWN, KY 42701-8460
(270) 737-1710
Mailing address
111 TOWNE DR, ELIZABETHTOWN, KY 42701-8460
(270) 737-1710

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
KY014014
KY

Other

Enumeration date
06/23/2018
Last updated
06/23/2018
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