Individual
JACKSON HULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1460 BLUEGRASS AVE, LOUISVILLE, KY 40215-1272
(502) 561-8496
Mailing address
215 RING RD, LOUISVILLE, KY 40207-3435
(502) 296-6278
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
022949
KY
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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