Individual
OIWAKENIX LAI CARMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 W SHOWALTER DR, GEORGETOWN, KY 40324-2081
(502) 868-6101
Mailing address
101 W SHOWALTER DR, GEORGETOWN, KY 40324-2081
(502) 868-6101
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
015419
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015419
KYBOP LICENSE
KY
Enumeration date
11/30/2020
Last updated
06/18/2025
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