# LOUISVILLE DRUG INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Blakes Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013563659
- **Authorized official:** KITRAN R GEISE RPH (OWNER/PIC)
- **Authorized official phone:** (402) 234-3025

## Contact information

- **Practice address:** 213 MAIN ST, LOUISVILLE, NE 68037-6032
- **Practice address phone:** (402) 234-3025
- **Practice address fax:** (402) 234-3026
- **Mailing address:** PO BOX 339, LOUISVILLE, NE 68037-0339
- **Mailing address phone:** (402) 234-3025
- **Mailing address fax:** (402) 234-3026

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 08/09/2019
- **Last updated:** 08/09/2019