EBONY TATE, PHARM D, BCPS, BCGP
Pharmacy at Main St, Louisville, KY

License number
Kentucky RPH023154
Category
Pharmacy
Type
Pharmacist
License number
Kentucky PH-3837
Category
Pharmacy
Type
Pharmacist
Address
Address 2
325 W Main St, Louisville, KY 40202
PO Box 1602, Lawrenceville, GA 30046
Phone
(480) 213-9024
(502) 405-5345 (Fax)
National Provider ID: 1528305471
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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