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DAVID MORRIS DECUIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
807 S HIGHWAY 53, LA GRANGE, KY 40031-9531
(502) 222-6550
(502) 222-6650
Mailing address
807 S HIGHWAY 53, LA GRANGE, KY 40031-9531
(502) 222-6550
(502) 222-6650

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
011639
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
011639
PHARMACY LICENSE NUMBER
KY
Enumeration date
09/16/2011
Last updated
09/16/2011
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