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1295016509
DERRICK GREENWELL
LOUISVILLE, KY
NPI
1295016509
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: KY 012887)
Enumeration Date
2011-08-31
Last Update Date
2011-08-31
Business Address
-- DERRICK GREENWELL
11930 STANDIFORD PLAZA DR
LOUISVILLE, KY 40229-5901
Phone number: 502-961-5843
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Mailing Address
-- DERRICK GREENWELL
123 CREEKSIDE DR
COXS CREEK, KY 40013-6617
Phone number:
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