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Individual

BRANDON HALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD, KY LDE

Contact information

Practice address
3141 PARK AVE, PADUCAH, KY 42001-4004
(270) 443-9459
(270) 443-9465
Mailing address
3141 PARK AVE, PADUCAH, KY 42001-4004
(270) 443-9459
(270) 443-9465

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
015506
KY
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
015506
KY

Other

Enumeration date
12/11/2019
Last updated
11/27/2023
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