# LOUISVILLE PHARMACY INC

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

## Provider details

- **NPI number:** 1114021177
- **Authorized official:** BRAD WHITE B.S (VICE PRESIDENT)
- **Authorized official phone:** (330) 339-4466

## Contact information

- **Practice address:** 700 W MAIN ST, LOUISVILLE, OH 44641-1338
- **Practice address phone:** (330) 875-5525
- **Practice address fax:** (330) 875-9798
- **Mailing address:** 2523 TUSCARAWAS ST W, CANTON, OH 44708-4701
- **Mailing address phone:** (330) 453-4804
- **Mailing address fax:** (330) 453-7688

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 020557650 | OH | Yes |

## Other

- **Enumeration date:** 09/12/2006
- **Last updated:** 05/01/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0713660 | — | OH |
| 01 | — | 2070772 | PK | — |