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Individual

SANDRA KARYN MCCAULEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
727 WADES MILL RD, WINCHESTER, KY 40391-9632
(859) 608-7696
Mailing address
727 WADES MILL RD, WINCHESTER, KY 40391-9632
(859) 608-7696

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
012905
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
012905
PHARMACIST LICENSE
KY
Enumeration date
08/22/2018
Last updated
08/22/2018
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