Individual
JADE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7914 FEGENBUSH LN, LOUISVILLE, KY 40228-1712
(502) 231-1788
Mailing address
3037 BEAUMONT RD, LOUISVILLE, KY 40205-3143
(502) 644-9084
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
014538
KY
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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