Individual
DR. MATTHEW MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
515 MEMORIAL DR STE 2, MANCHESTER, KY 40962-9157
(606) 598-5025
(606) 598-0007
Mailing address
1025 EVERETT AVE APT 20, LOUISVILLE, KY 40204-1250
(859) 797-4119
(606) 598-0007
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
020679
KY
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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