| NPI |
Provider Name |
Address |
Type |
| 1912085960 | WAL-MART STORES EAST, LP | 1015 NEW MOODY LN
LA GRANGE, KY
ZIP 40031
Phone: (502) 222-4260
| Organization |
| 1558091173 | JOSEPH BRADLEY MULLIGAN, LDO | 1015 NEW MOODY LN
LA GRANGE, KY
ZIP 40031
Phone: (502) 222-5292
| Individual |
| 1477287498 | DONNA JANE OWENS | 1015 NEW MOODY LN
LA GRANGE, KY
ZIP 40031
Phone: (502) 222-2592
| Individual |
| 1194450122 | PAMELA WILSON | 1015 NEW MOODY LN
LA GRANGE, KY
ZIP 40031
Phone: (502) 222-5292
| Individual |