Individual
REBECCA STORCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1250 PATROL RD, CHARLESTOWN, IN 47111-8670
(855) 647-7379
Mailing address
14406 BROAD OAK PL, LOUISVILLE, KY 40245-5135
(812) 480-4473
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
018861
KY
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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