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Individual

MR. FREDDIE LEE COX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMACIST

Contact information

Practice address
300 S MAIN ST, CORBIN, KY 40701-1458
(606) 528-1304
(606) 528-1305
Mailing address
214 DEBBIE LN, CORBIN, KY 40701-2816

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
006598
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
54007232
KY
05
90111188
KY
Enumeration date
10/13/2006
Last updated
07/09/2007
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