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Organization
LOUSIVILLE PHARMACY INC
Active
Organization
LOUSIVILLE PHARMACY INC
Active
Other names
Medicine Center Institutional Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY WHITE (VICE PRESIDENT)
(330) 323-8339
Entity
Organization
Contact information
Practice address
700 W MAIN ST, SUITE A, LOUISVILLE, OH 44641-1338
(330) 875-9090
(330) 875-3388
Mailing address
700 W MAIN ST, SUITE A, LOUISVILLE, OH 44641-1338
(330) 875-9090
(330) 875-3388
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
021948200
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2119973
PK
—
Enumeration date
04/20/2009
Last updated
07/19/2018
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