Individual
NATHANIEL JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2222 BARDSTOWN RD, LOUISVILLE, KY 40205-1918
(502) 459-6563
Mailing address
8507 RUNNING SPRING DR, LOUISVILLE, KY 40241-5515
(502) 548-1891
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
016682
KY
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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