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Individual

PETER PRUITT COHRON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BSPHARM, JD

Contact information

Practice address
408 N MORGAN ST, MORGANFIELD, KY 42437-1240
(270) 389-4559
(270) 389-9496
Mailing address
350 TARTAN DR, HENDERSON, KY 42420-4775
(270) 212-0937
(270) 212-0937

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
008337
KY
183500000X
Pharmacist
26091860A
IN

Other

Enumeration date
08/09/2012
Last updated
08/09/2012
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