Individual
COURTNEY CAREE RERECICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7311 JEFFERSON BLVD, LOUISVILLE, KY 40219-6178
(502) 968-9256
Mailing address
7311 JEFFERSON BLVD, LOUISVILLE, KY 40219-6178
(502) 968-9256
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
020753
KY
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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