Most Relevant Information
Provider Data
| NPI Number: | 1003226804 |
| Provider Name: | JEFFREY TATE RPH |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 008149 |
Most Important Dates
| Enumeration Date: | 05/01/2014 |
| Last Updated: | 05/01/2014 |
Provider Practice Location
9905 DIXIE HWY
LOUISVILLE
KY
402723943
Practice Location Phone/Fax
| Phone: | 5029952110 |
| Fax: |
Provider Mailing Location
10713 ALBERTA DR
FAIRDALE
KY
401189306
Provider Mailing Phone/Fax
| Phone: | 5023617696 |
| Fax: |