Individual
ELIZABETH PAIGE WHITAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1015 NEW MOODY LN, LA GRANGE, KY 40031-9142
(502) 222-9797
Mailing address
6121 WINKLER RD, CRESTWOOD, KY 40014-7903
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
021410
KY
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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