Individual
TORI MARISSA PENICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
550 S JACKSON ST, LOUISVILLE, KY 40202-1622
(502) 554-2138
Mailing address
613 W WOODLAKE CIR, MOUNT WASHINGTON, KY 40047-6187
(502) 554-2138
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
021313
KY
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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