Individual
TINA SLIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1265 GOSS AVE, LOUISVILLE, KY 40217-2271
(502) 634-0649
Mailing address
410 BRECKENRIDGE LN, LOUISVILLE, KY 40207-3829
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
018012
KY
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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