TIFFANY DANETTE SELF

LOUISVILLE, KY
NPI1568535334
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: KY  012747)
Enumeration Date2006-11-17
Last Update Date2007-07-08
Business Address
Dr. TIFFANY DANETTE SELF Pharm.D.
10316 LONG BARN CT
LOUISVILLE, KY 40291-4008
Phone number: 502-896-6113
Mailing Address
Dr. TIFFANY DANETTE SELF Pharm.D.
10316 LONG BARN CT
LOUISVILLE, KY 40291-4008
Phone number: 502-896-6113