Individual
DR. GEORGE G SHACKLEFORD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1121 S US HIGHWAY 25E, BARBOURVILLE, KY 40906-8005
(606) 545-7314
(606) 545-5417
Mailing address
1121 S US HIGHWAY 25E, BARBOURVILLE, KY 40906-8005
(606) 545-7314
(606) 545-5417
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
012019
KY
Other
Enumeration date
03/03/2023
Last updated
01/22/2024
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