Individual
MATTHEW WETHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
7101 CEDAR SPRINGS BLVD, LOUISVILLE, KY 40291-2587
(502) 231-6867
Mailing address
9815 BOXFORD CT, LOUISVILLE, KY 40242-2303
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017395
KY
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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