Park Duvalle Community Health Center, INC
NPI #1518184613 in Louisville, Kentucky
Provider Information
- NPI Number
- 1518184613
- Entity Type
- Organization
- Organization Name
- Park Duvalle Community Health Center, INC
- Primary Specialty
- Pharmacy - Clinic Pharmacy
- Enumeration Date
- Apr 19, 2007
- Last Updated
- Nov 2, 2021
Practice Location
- Address
- 3015 WILSON AVE
- City
- Louisville
- State
- Kentucky
- ZIP Code
- 40211-1969
- Phone
- (502) 774-4401
Authorized Official
- Name
- SWANNIE JETT
- Title
- CEO
- Phone
- (502) 774-4401
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Clinic Pharmacy — Clinic Pharmacy |
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