Individual
JOEL LYNN SOUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
538 LONE OAK RD, PADUCAH, KY 42003-4538
(270) 443-3311
(270) 442-7710
Mailing address
1525 STATE ROUTE 2151, MELBER, KY 42069-8933
(270) 674-5697
(270) 674-6097
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9491
KY
Other
Enumeration date
01/18/2006
Last updated
01/14/2009
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