Individual
MATTHEW C HARLESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 ZORN AVE, LOUISVILLE, KY 40206-1433
(502) 287-4000
Mailing address
800 ZORN AVE, LOUISVILLE, KY 40206-1433
(502) 287-4000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
024419
KY
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WV
Other
Enumeration date
08/28/2019
Last updated
05/20/2026
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