Organization
C D S 10 PHARMACY LLC
Active
Other names
CDS#10 Clinical Services
Organization subpart
No
Provider details
NPI number
Authorized official
JANE ELLEN LACEFIELD PHARMD (AUTHORIZED OFFICIAL)
(270) 781-5661
Entity
Organization
Contact information
Practice address
1308 ASHLEY CIRCLE, BOWLING GREEN, KY 42104
(270) 779-0599
(270) 781-5652
Mailing address
1308 ASHLEY CIRCLE, BOWLING GREEN, KY 42104
(270) 779-0599
(270) 781-5652
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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