Individual
LAURA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4174 WESTPORT RD, LOUISVILLE, KY 40207-2735
(502) 992-1040
Mailing address
221 KENNEDY CT APT 1, LOUISVILLE, KY 40206-3602
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PT00036894
KY
Other
Enumeration date
02/06/2015
Last updated
02/06/2015
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