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Individual

ANGELINA CALISTA COX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
650 JOEL DRIVE ATTN: CREDENTIALS OFFICE (RM # 1BED01D), BLANCHFIELD ARMY COMMUNITY HOSPITAL, FORT CAMPBELL, KY 42223-5349
(901) 568-7923
Mailing address
203 BROOKFIELD DR, PADUCAH, KY 42001-6549
(901) 568-7923

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
017419
KY
183500000X
Pharmacist
Primary
11385
TN

Other

Enumeration date
02/13/2017
Last updated
02/13/2017
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