Individual
MR. WILLIAM DOUGLAS ANTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R. PH.
Contact information
Practice address
2200 DUNDEE RD, LOUISVILLE, KY 40205-1828
(502) 452-2678
Mailing address
3103 THOUSAND OAKS DR, LOUISVILLE, KY 40205-2701
(502) 456-4999
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
008276
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1819448
NABP NUMBER
KY
05
—
54023585
—
KY
Enumeration date
02/18/2007
Last updated
07/08/2007
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