Individual
JONATHAN DALENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
4311 HIGHWAY 2565, LOUISA, KY 41230-1503
(606) 638-3110
Mailing address
4311 HIGHWAY 2565, LOUISA, KY 41230-1503
(606) 638-3110
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019484
KY
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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