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Individual

DR. TARA ANDERSON MAINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
222 MEDICAL CIR, MOREHEAD, KY 40351-1179
(606) 783-6741
Mailing address
222 MEDICAL CIR, MOREHEAD, KY 40351-1179
(606) 783-6741

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
013331
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
013331
PHARMACIST LICENSE
KY
Enumeration date
10/31/2006
Last updated
03/12/2013
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