Jewell, Marie
Jewell, Marie is an sole proprietor health care provider with primary practice located at 12501 Shelbyville Rd , Louisville KY 40243-1530. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist is her primary health care specialty. Jewell, Marie can be contacted via phone (502) 244-7960.Contact Information
Primary practice address
12501 Shelbyville Rd
Louisville KY 40243-1530
Phone: (502) 244-7960
Fax: (502) 244-7982
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 012665 | Kentucky |
| Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 012665 | Kentucky |
Profile Details
| NPI number | 1770911752 |
|---|---|
| LBN Legal business name | Jewell, Marie |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 29th, 2013 |
| Last updated | Dec 18th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770911752 | NPPES |
| Indiana | Other | 26028475A | BOARD OF PHARMACY |
| Indiana | Other | 012665 | BOARD OF PHARMACY |
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