LORI POWELL
Individual Provider (NPI-1)
Active
Pharmacist
Provider Information
- NPI Number
1962099846- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 11420 WATTERSON CT STE 600, JEFFERSONTOWN, KY, 402992385
- Phone
- (502) 297-8802
- Fax
- (855) 253-1020
Specialties & Taxonomies
Pharmacist
License: IN #26027953A
Pharmacist
Primary License: KY #014112