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Individual

JD LEE SHOULDERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
394 N DIXIE ST, HORSE CAVE, KY 42749-1138
(270) 786-1147
(270) 786-5615
Mailing address
1529 NEPTUNE WAY, BOWLING GREEN, KY 42104-0210
(270) 991-4696
(270) 786-5615

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
009319
KY

Other

Enumeration date
11/23/2015
Last updated
11/23/2015
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