Individual
DR. LYSETTE DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD. RPH
Contact information
Practice address
110 BAILEY RD, SMITHS GROVE, KY 42171-7292
(270) 780-4011
Mailing address
110 BAILEY RD, SMITHS GROVE, KY 42171-7292
(270) 597-2345
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
011544
KY
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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