Individual
AUTUMN SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
532 S 4TH ST, LOUISVILLE, KY 40202-2553
(502) 434-3122
Mailing address
532 S 4TH ST, LOUISVILLE, KY 40202-2553
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
024587
KY
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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