Individual
MR. DANIEL LEE DEEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
5101 JEFF COMMERCE DR, LOUISVILLE, KY 40219-3336
(502) 213-1402
Mailing address
201 E OAK ST, LOUISVILLE, KY 40203-2725
(614) 769-2405
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017694
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017694
PHARMACIST LICENSE NUMBER
KY
Enumeration date
07/01/2022
Last updated
07/01/2022
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