Individual
DR. STEPHANIE LUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
11420 WATTERSON CT STE 600, LOUISVILLE, KY 40299-2385
(502) 297-8802
(855) 253-1020
Mailing address
11420 WATTERSON CT, LOUISVILLE, KY 40299-2311
(502) 297-8802
(855) 253-1020
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019472
KY
183500000X
Pharmacist
26027412A
IN
Other
Enumeration date
12/31/2020
Last updated
12/31/2020
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