KERRY HETTINGER
Individual Provider (NPI-1)
Active
Pharmacy, Community/Retail Pharmacy
Provider Information
- NPI Number
1497361208- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1114 SCHILLER AVE, LOUISVILLE, KY, 402041946
- Phone
- (502) 322-5609
Specialties & Taxonomies
Pharmacy, Community/Retail Pharmacy
Primary License: KY #019513
Pharmacy, Community/Retail Pharmacy
License: IN #26027404A