Individual
DERRICK GREENWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11930 STANDIFORD PLAZA DR, LOUISVILLE, KY 40229-5901
(502) 961-5843
(502) 961-5847
Mailing address
123 CREEKSIDE DR, COXS CREEK, KY 40013-6617
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
012887
KY
Other
Enumeration date
08/31/2011
Last updated
08/31/2011
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