Individual
MARY NANETTE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
521 LONE OAK RD, PADUCAH, KY 42003-4543
(270) 442-6659
Mailing address
521 LONE OAK RD, PADUCAH, KY 42003-4543
(270) 442-6659
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
010815
KY
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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