Individual
DR. JACLYN GREENWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5601 BARDSTOWN RD, LOUISVILLE, KY 40291-1911
(502) 239-6160
Mailing address
11509 WILLOW STREAM CT APT 301, LOUISVILLE, KY 40299-5999
(502) 744-5749
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
016103
KY
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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