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Individual

WILLARD NATHANIEL FERGUSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2673 HIGHWAY 644, LOUISA, KY 41230-5922
(606) 638-9627
Mailing address
2673 HIGHWAY 644, LOUISA, KY 41230-5922
(606) 638-9627

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
020781
KY

Other

Enumeration date
02/02/2021
Last updated
02/02/2021
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