Individual
JADE SOPHIA BRAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
4100 TOWNE CENTER DR, LOUISVILLE, KY 40241-4153
(502) 326-5210
Mailing address
4605 SHENANDOAH DR, LOUISVILLE, KY 40241-4828
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
025358
KY
Other
Enumeration date
10/02/2025
Last updated
10/02/2025
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