Individual
JEFF MORRIS VANARSDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
7914 FEGENBUSH LN, LOUISVILLE, KY 40228-1712
(502) 231-1788
Mailing address
1304 BLACKTHORN RD, LOUISVILLE, KY 40299-4882
(502) 749-0675
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
011504
KY
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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