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Individual

LARRY W. BULLOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMACIST

Contact information

Practice address
550 S JACKSON ST, LOUISVILLE, KY 40202-1622
(502) 562-3571
Mailing address
1105 CHAMBERLAIN HILL RD, LOUISVILLE, KY 40207-2207
(502) 897-1650

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6871
KY

Other

Enumeration date
02/01/2006
Last updated
07/13/2026
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