Individual
SHAWNEE MIRRIA CRESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1255 N 12TH ST STE 1, MIDDLESBORO, KY 40965-1838
(606) 248-6288
Mailing address
PO BOX 255, CUMBERLAND, KY 40823-0255
(606) 671-0425
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
024339
KY
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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