Individual
MISS SHAVON MICHELLE OFFUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SR.CPHT
Contact information
Practice address
990 BAXTER AVE, LOUISVILLE, KY 40204-2064
(502) 585-3239
(502) 583-3162
Mailing address
990 BAXTER AVE, LOUISVILLE, KY 40204-2064
(502) 585-3239
(502) 583-3162
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
320101050741830
KY
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
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