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NPI Code Detail

MEDICARE: THERESA O'DAY

MEDICARE: THERESA O'DAY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist010061KY

General Provider Information

NPI Number : 1114204732
Entity Type Code : Individual
Provider Name (Legal Business Name) : THERESA O'DAY
Provider Business Mailing Address
First Line : 7914 FEGENBUSH LN
Second Line :
City : LOUISVILLE
State : KY
Zip : 40228-1712
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7914 FEGENBUSH LN
Second Line :
City : LOUISVILLE
State : KY
Zip : 40228-1712
Country : US
Telephone Number : 502-231-1788
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2011
Last Update Date : 11/10/2011

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Directions to “ THERESA O'DAY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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