Individual
DHAVAL KOTAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
6109 BARDSTOWN RD, LOUISVILLE, KY 40291-3001
(502) 239-3226
Mailing address
6109 BARDSTOWN RD, LOUISVILLE, KY 40291-3001
(502) 239-3226
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
016254
KY
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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