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Individual

CHARLES JUSTIN DOOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM D

Contact information

Practice address
2181 HARRODSBURG RD, LEXINGTON, KY 40504-3504
(859) 278-9911
(859) 278-0412
Mailing address
2181 HARRODSBURG RD, LEXINGTON, KY 40504-3504
(859) 278-9911
(859) 278-0412

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
016319
KY

Other

Enumeration date
07/15/2013
Last updated
07/15/2013
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