Individual
EVELYN VIRGINIA SOUTH I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
600 31-W BYPASS, BOWLING GREEN, KY 42101-7038
(202) 360-2301
Mailing address
120B VILLAGE CIR, GLASGOW, KY 42141-7038
(270) 670-7793
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
013263
KY
183500000X
Pharmacist
14362
AZ
183500000X
Pharmacist
34240
TN
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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