Tiffany Desilets

NPI #1821690405 in Radcliff, Kentucky

Provider Information

NPI Number: 1821690405
Entity Type: Individual
Name: Tiffany Desilets
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Nov 10, 2020
Last Updated: Nov 10, 2020

Practice Location

Address: 1165 WALMART WAY
City: Radcliff
State: Kentucky
ZIP Code: 40160-1471
Phone: (270) 352-2730

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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