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Individual

MRS. TASHENA ELIZABETH HILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM D

Contact information

Practice address
520 WEST GUM ST., MARION, KY 42064
(270) 965-4101
(270) 965-9957
Mailing address
P.O. BOX 366, 520 WEST GUM ST., MARION, KY 42064
(270) 965-4101
(270) 965-9957

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
015592
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
18D2159791
CLIA WAIVER
KY
01
18D2159792
CLIA WAIVER
KY
Enumeration date
09/13/2017
Last updated
08/18/2020
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