Individual
SARA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
44 PUBLIC SQ, ELKTON, KY 42220-8822
(270) 265-2155
Mailing address
1855 PAUL YOUNG RD, OLMSTEAD, KY 42265-9147
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017090
KY
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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