Individual
SERENE ALYSSA ROSARIO MACARAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 ZORN AVE # 119, LOUISVILLE, KY 40206-1433
(502) 287-4190
Mailing address
1172 E BROADWAY UNIT 202, LOUISVILLE, KY 40204-1787
(260) 255-1404
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26027643A
IN
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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