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Individual

ELOIS BROUGHTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.PH.

Contact information

Practice address
913 TAYLORSVILLE RD, TAYLORSVILLE, KY 40071-8713
(502) 477-1973
(502) 477-1975
Mailing address
PO BOX 622, TAYLORSVILLE, KY 40071-0622
(502) 477-1973
(502) 477-1975

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
008286
KY

Other

Enumeration date
06/05/2012
Last updated
06/05/2012
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