Individual
THERESA MAHONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
320 N LORETTO RD, LEBANON, KY 40033-1300
(270) 692-5276
Mailing address
267 ICETOWN RD, BOSTON, KY 40107-8446
(502) 275-6572
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
010878
KY
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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