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Individual

SHELBY ALEXIS FAIRCHILD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
100 S CAROL MALONE BLVD, GRAYSON, KY 41143-1352
(606) 474-4470
Mailing address
100 S CAROL MALONE BLVD, GRAYSON, KY 41143-1352
(606) 474-4470

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
024002
KY

Other

Enumeration date
12/15/2023
Last updated
12/15/2023
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