Individual
JAIMIE TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 TAYLORSVILLE RD, SHELBYVILLE, KY 40065-8104
(502) 633-2592
(502) 633-4645
Mailing address
1404 HARLEY CREEK CT, FISHERVILLE, KY 40023-7781
(502) 599-2478
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
011825
KY
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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