Individual
LATOYA SHANEESE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7700 SHEPHERDSVILLE RD, LOUISVILLE, KY 40219-4021
(502) 968-7777
Mailing address
13010 OBSERVATION CIR UNIT 301, LOUISVILLE, KY 40243-1687
(731) 618-1911
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019359
KY
Other
Enumeration date
08/07/2017
Last updated
08/07/2017
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