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Individual

BARRY LEE GADDIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
3351 SHADEWOOD TER, OWENSBORO, KY 42303-8819
(270) 313-9540
Mailing address
3351 SHADEWOOD TER, OWENSBORO, KY 42303-8819
(270) 313-9540

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
26020703A
IN
183500000X
Pharmacist
7877
KY
183500000X
Pharmacist
Primary
E-6151
MS

Other

Enumeration date
07/05/2012
Last updated
07/05/2012
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