Individual
RENEE SUMMERS WILLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3905 TAYLORSVILLE RD, LOUISVILLE, KY 40220-1414
(502) 975-3517
Mailing address
801 TOWNER PL, LOUISVILLE, KY 40223-2568
(502) 905-1653
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
015196
KY
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
015196
KY
Other
Enumeration date
01/01/2021
Last updated
01/07/2021
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