Individual
MS. ANGELA TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1600 ORMSBY STATION CT, LOUISVILLE, KY 40223-4039
(502) 558-8571
(502) 423-4176
Mailing address
720 WINDING OAKS TRL, LOUISVILLE, KY 40223-2300
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051.293267
IL
183500000X
Pharmacist
10176
KY
183500000X
Pharmacist
26023088A
IN
183500000X
Pharmacist
33510
TN
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
010176
KY
Other
Enumeration date
03/25/2011
Last updated
12/05/2019
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