Individual
AMANDA JO HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2368 FRANKFORT AVE, LOUISVILLE, KY 40206-2466
(502) 896-0518
Mailing address
876 MARKHAM LN, LOUISVILLE, KY 40207-4445
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019686
KY
Other
Enumeration date
12/27/2017
Last updated
12/27/2017
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