Individual
KRISTA PORTWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3706 DIANN MARIE RD, LOUISVILLE, KY 40241-3818
(502) 326-0805
(502) 326-3048
Mailing address
3706 DIANN MARIE RD, LOUISVILLE, KY 40241-3818
(502) 326-0805
(502) 326-3048
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
010970
KY
Other
Enumeration date
10/31/2020
Last updated
10/31/2020
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