Individual
SARA L. DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
12450 LA GRANGE RD, LOUISVILLE, KY 40245-1901
(502) 241-6770
(502) 241-5909
Mailing address
12450 LA GRANGE RD, LOUISVILLE, KY 40245-1901
(502) 241-6770
(502) 241-5909
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0000003763
TN
183500000X
Pharmacist
Primary
006821
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000003763
TENNESSE STATE PHARMACY LICENCE NUMBER
TN
01
—
006821
KENTUCKY BOARD OF PHARMACY PHARMACIST ID
KY
Enumeration date
06/13/2011
Last updated
06/13/2011
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