Individual
MR. BRUCE SIBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2368 FRANKFORT AVE, LOUISVILLE, KY 40206-2466
(502) 896-0518
(502) 896-1179
Mailing address
2368 FRANKFORT AVE, LOUISVILLE, KY 40206-2466
(502) 896-0518
(502) 896-1179
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
005173
TN
183500000X
Pharmacist
Primary
008220
KY
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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