Individual
SUSAN MAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-4794
(859) 258-4860
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-4794
(859) 258-4860
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
009092
KY
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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