Individual
DR. SAMUEL TRAVIS TIMBERLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, RPH
Contact information
Practice address
11930 STANDIFORD PLAZA DR, LOUISVILLE, KY 40229-5901
(502) 961-5843
(502) 961-5847
Mailing address
11930 STANDIFORD PLAZA DR, LOUISVILLE, KY 40229-5901
(502) 961-5843
(502) 961-5847
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
014474
KY
Other
Enumeration date
08/26/2011
Last updated
08/26/2011
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