Individual
MARIA TINAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2360 STONY BROOK DR, LOUISVILLE, KY 40220-4018
(502) 493-8719
Mailing address
2360 STONY BROOK DR, LOUISVILLE, KY 40220-4018
(502) 493-8719
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
011273
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011273
183500000X-PHARMACIST
KY
Enumeration date
03/04/2022
Last updated
03/04/2022
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