Individual
SAMANTHA JULIA SALAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
14800 FORT CAMPBELL BLVD, OAK GROVE, KY 42262-8304
(270) 640-5848
(270) 640-5844
Mailing address
1032 SIVLEY RD, HOPKINSVILLE, KY 42240-7941
(615) 478-8655
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
023723
KY
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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