Individual
LESLIE G CHASTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 BYPASS N, LAWRENCEBURG, KY 40342-9462
(502) 839-1482
(502) 839-4268
Mailing address
918 MILWARD DR, HARRODSBURG, KY 40330-8080
(859) 338-8914
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017918
KY
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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