Individual
INGRID COUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
538 LONE OAK RD, PADUCAH, KY 42003-4538
(270) 443-8855
Mailing address
1022 MAXTON PARK LN, PADUCAH, KY 42001-9597
(908) 414-2187
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
018244
KY
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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