Individual
ANTONIO LAVELLE BOOKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, RPH
Contact information
Practice address
7500 TERRY ROAD, LOUISVILLE, KY 40258
(502) 935-6230
Mailing address
7500 TERRY ROAD, LOUISVILLE, KY 40258
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019273
KY
Other
Enumeration date
07/28/2017
Last updated
07/28/2017
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