Individual
SALLY MOORE KUPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3012 BARDSTOWN RD, LOUISVILLE, KY 40205-3020
(502) 458-2647
Mailing address
8114 REGENCY WOODS WAY, LOUISVILLE, KY 40220-3811
(502) 491-3320
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7844
KY
Other
Enumeration date
05/09/2011
Last updated
05/09/2011
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