Provider First Line Business Practice Location Address:
2100 GARDINER LN
Provider Second Line Business Practice Location Address:
SULLIVAN UNIVERSITY COLLEGE OF PHARMACY
Provider Business Practice Location Address City Name:
LOUISVILLE
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40205-2962
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
502-413-8648
Provider Business Practice Location Address Fax Number:
502-515-4669
Provider Enumeration Date:
02/20/2007