Individual
SHERRY LYNN SOUTHERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 S KY HIGHWAY 15, HAZARD, KY 41701-6029
(606) 436-3128
(606) 435-0664
Mailing address
30 S KY HIGHWAY 15, HAZARD, KY 41701-6029
(606) 436-3128
(606) 435-0664
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
009749
KY
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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