Individual
JULIE HAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
521 LONE OAK RD, PADUCAH, KY 42003-4543
(270) 442-6659
Mailing address
5437 SHELLDRAKE LN, PADUCAH, KY 42001-9550
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
011425
KY
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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