EBONY TATE

LOUISVILLE, KY
NPI1528305471
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: GA  RPH023154)
Additional Taxonomies183500000X Pharmacist
(Licence: HI  PH-3837)
Enumeration Date2013-01-12
Last Update Date2017-01-15
Business Address
-- EBONY TATE Pharm D, BCPS, BCGP
325 W MAIN ST
LOUISVILLE, KY 40202-4254
Phone number: 480-213-9024
Mailing Address
-- EBONY TATE Pharm D, BCPS, BCGP
PO BOX 1602
LAWRENCEVILLE, GA 30046-1602
Phone number: 480-213-9024