Individual
DAVID SHEPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
505 WALLACE AVE, LOUISVILLE, KY 40207-3768
(502) 937-5073
Mailing address
505 WALLACE AVE, LOUISVILLE, KY 40207-3768
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
023250
KY
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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