Individual
CHARLES SANDUSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 ZORN AVE, LOUISVILLE, KY 40206-1433
(502) 287-5900
(502) 897-6965
Mailing address
800 ZORN AVE, LOUISVILLE, KY 40206-1433
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9735
KY
Other
Enumeration date
07/13/2007
Last updated
07/13/2007
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