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Individual

MR. LOUIS PASCHAL GLAVINOS SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
4000 KRESGE WAY, LOUISVILLE, KY 40207-4605
(502) 649-7740
Mailing address
394 WILLOW WOOD DR, MOUNT WASHINGTON, KY 40047-7295
(502) 649-7740

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
009642
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
009642
PHARMACIST
KY
Enumeration date
01/31/2020
Last updated
01/31/2020
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