NPI 1003226804

Jeffrey Tate, RPH

Practitioner Pharmacist Louisville, KY

Practice location

Address: 9905 Dixie Hwy, Louisville, KY 40272-3943
Phone: (502) 995-2110
Mailing address: 10713 Alberta Dr, Fairdale, KY 40118-9306

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 008149 (KY)

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Registry record

NPI: 1003226804
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 May 2014
Record last updated: 1 May 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.