Individual
JOSHUA CARL SAMUELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 562-3000
Mailing address
946 GOSS AVE APT 2210, LOUISVILLE, KY 40217-2281
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019920
KY
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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