Individual
JENNNIFER C REGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12101 SHELBYVILLE RD, LOUISVILLE, KY 40243-1044
(502) 244-7037
Mailing address
2115 MARYLAND AVE, LOUISVILLE, KY 40205-1330
(502) 314-0507
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
021694
KY
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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