Individual
JACQUELINE SHANNON BOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
325 E BROADWAY ST, CAMPBELLSVILLE, KY 42718-2003
(270) 789-4663
(270) 789-4664
Mailing address
325 E BROADWAY ST, CAMPBELLSVILLE, KY 42718-2003
(270) 789-4663
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
013414
KY
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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