Individual
MALCOLM ALLEN GEOGHEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
311 BOONE STATION RD, SHELBYVILLE, KY 40065-8673
(502) 633-5331
Mailing address
311 BOONE STATION RD, SHELBYVILLE, KY 40065-8673
(502) 633-5331
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
009247
KY
Other
Enumeration date
02/07/2020
Last updated
02/07/2020
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