Individual
TERESA MEARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
310 W 5TH ST, BENTON, KY 42025-1102
(270) 527-3597
Mailing address
553 JONATHAN SHORES RD, BENTON, KY 42025-6433
(270) 493-1281
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
011457
KY
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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