Individual
SCOTTY SEARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1800 OLD BLUEGRASS AVE, LOUISVILLE, KY 40215-1168
(502) 361-2301
(502) 375-0530
Mailing address
1800 OLD BLUEGRASS AVE, LOUISVILLE, KY 40215-1168
(502) 361-2301
(502) 375-0530
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0011099
KY
183500000X
Pharmacist
26024436A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011099
KENTUCKY BOARD OF PHARMACY
KY
01
—
26024436A
INDIANA PROFESSIONAL LICENSING AGENCY
IN
Enumeration date
01/21/2013
Last updated
09/22/2021
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