Individual
LAURIE GUPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12501 SHELBYVILLE RD, LOUISVILLE, KY 40243-1530
(502) 244-7960
Mailing address
12501 SHELBYVILLE RD, LOUISVILLE, KY 40243-1530
(502) 244-7960
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
010403
KY
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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