Individual
EDWARD L BAISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
325 EAST BROADWAY, CAMPBELLSVILLE, KY 42718
(270) 465-3784
(270) 789-3784
Mailing address
325 EAST BROADWAY, CAMPBELLSVILLE, KY 42718
(270) 465-3784
(270) 789-3784
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
KY8176
KY
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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