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1568535334
TIFFANY DANETTE SELF
LOUISVILLE, KY
NPI
1568535334
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: KY 012747)
Enumeration Date
2006-11-17
Last Update Date
2007-07-08
Business Address
Dr. TIFFANY DANETTE SELF Pharm.D.
10316 LONG BARN CT
LOUISVILLE, KY 40291-4008
Phone number: 502-896-6113
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Mailing Address
Dr. TIFFANY DANETTE SELF Pharm.D.
10316 LONG BARN CT
LOUISVILLE, KY 40291-4008
Phone number: 502-896-6113
Copy
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