Individual
GYL MARCELINE AENGWANAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2222 BARDSTOWN RD, LOUISVILLE, KY 40205-1918
(502) 459-6563
Mailing address
18007 BRIGHTLEAF PL, FISHERVILLE, KY 40023-7730
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
021061
KY
Other
Enumeration date
03/20/2026
Last updated
03/20/2026
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