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Individual

MONICA ANN ELSWICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4913 CARRIAGE PASS PL, LOUISVILLE, KY 40299-6638
(502) 435-6056
Mailing address
4913 CARRIAGE PASS PL, LOUISVILLE, KY 40299-6638

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
015110
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
015110
PHARMACIST LICENSE NUMER
KY
Enumeration date
11/02/2020
Last updated
11/02/2020
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