Individual
GARRETT MORELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2490 BARDSTOWN RD, LOUISVILLE, KY 40205-2123
(502) 454-8087
Mailing address
2500 W MOSS AVE, PEORIA, IL 61604-5450
(270) 366-6056
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
021013
KY
183500000X
Pharmacist
051303150
IL
183500000X
Pharmacist
26028594A
IN
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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