Individual
JACOB WISLOCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
200 E CHESTNUT ST, LOUISVILLE, KY 40202-1831
(502) 629-3800
Mailing address
200 E CHESTNUT ST, LOUISVILLE, KY 40202-1831
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
024518
KY
Other
Enumeration date
04/27/2020
Last updated
08/08/2024
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