Individual
JASKARN BAWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10490 SHELBYVILLE RD, LOUISVILLE, KY 40223-3120
(502) 245-8853
Mailing address
10490 SHELBYVILLE RD, LOUISVILLE, KY 40223-3120
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
022565
KY
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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