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Organization
LOUISVILLE PHARMACY INC
Active
Organization
LOUISVILLE PHARMACY INC
Active
Other names
Medicine Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD WHITE B.S (VICE PRESIDENT)
(330) 339-4466
Entity
Organization
Contact information
Practice address
700 W MAIN ST, LOUISVILLE, OH 44641-1338
(330) 875-5525
(330) 875-9798
Mailing address
2523 TUSCARAWAS ST W, CANTON, OH 44708-4701
(330) 453-4804
(330) 453-7688
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
020557650
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0713660
—
OH
01
—
2070772
PK
—
Enumeration date
09/12/2006
Last updated
05/01/2017
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