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Individual

JONATHAN DUGAN VANLAHR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
14020 E HIGHWAY 60, IRVINGTON, KY 40146-7166
(270) 547-2855
Mailing address
PO BOX 207, IRVINGTON, KY 40146-0207
(270) 547-2855
(270) 547-2857

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
007954
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
007954
PHARMACIST LICENSE
KY
Enumeration date
08/20/2018
Last updated
08/20/2018
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