Individual
MONALISA FAINA MAKETIWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
679 S MAIN ST, MADISONVILLE, KY 42431-3039
(270) 825-1541
Mailing address
629 S MAIN ST, MADISONVILLE, KY 42431-3039
(270) 825-1541
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26027881A
IN
Other
Enumeration date
11/08/2018
Last updated
11/23/2018
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