Individual
KRUTIKA MEDIWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
800 ROSE ST # H112, LEXINGTON, KY 40536-0001
(859) 323-9258
Mailing address
3050 HELMSDALE PL, APT 4301, LEXINGTON, KY 40509-2478
(864) 933-2756
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017885
KY
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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