Individual
MRS. LOAN SAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4990 HOUSTON RD, FLORENCE, KY 41042-4851
(859) 746-6310
Mailing address
4990 HOUSTON RD, FLORENCE, KY 41042-4851
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
014405
KY
183500000X
Pharmacist
03328824
OH
Other
Enumeration date
03/19/2014
Last updated
03/19/2014
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