Individual
TABATHA M ENGALND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
612 W STOCKTON ST, EDMONTON, KY 42129-9458
(270) 432-3865
(270) 432-7750
Mailing address
1825 ECHO RD, KNOB LICK, KY 42154-8341
(270) 432-7574
(270) 432-7750
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PT00013046
KY
Other
Enumeration date
06/27/2013
Last updated
06/27/2013
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