Michael Ray Shain
Pharmacist in Louisville, KY. Individual provider (NPI-1).
NPI number1164034799
StatusActive
Last updated in NPPESAug 17, 2020
Details
- NPI
- 1164034799
- Entity type
- Individual (NPI-1)
- Name
- Michael Ray Shain
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 17, 2020
- Certification date
- Aug 17, 2020
- Last updated
- Aug 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 009737 | KY | Yes |
Practice location
2368 Frankfort AveLouisville, KY 40206-2466
Phone 502-896-0518
Mailing address
7913 Montero DrProspect, KY 40059-9414
Phone 502-938-5111
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