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Individual

DR. SARAH ELIZABETH RAAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
2100 GARDINER LN, LOUISVILLE, KY 40205-2962
(502) 413-8991
Mailing address
2100 GARDINER LN, LOUISVILLE, KY 40205-2962

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
015660
KY
183500000X
Pharmacist
Primary
26024304A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
015660
PHARMACIST LICENSE
KY
01
26024304A
PHARMACIST LICENSE
IN
Enumeration date
11/09/2011
Last updated
06/04/2012
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