# LOUSIVILLE PHARMACY INC

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

## Provider details

- **NPI number:** 1508009697
- **Authorized official:** BRADLEY WHITE (VICE PRESIDENT)
- **Authorized official phone:** (330) 323-8339

## Contact information

- **Practice address:** 700 W MAIN ST, SUITE A, LOUISVILLE, OH 44641-1338
- **Practice address phone:** (330) 875-9090
- **Practice address fax:** (330) 875-3388
- **Mailing address:** 700 W MAIN ST, SUITE A, LOUISVILLE, OH 44641-1338
- **Mailing address phone:** (330) 875-9090
- **Mailing address fax:** (330) 875-3388

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 021948200 | OH | Yes |

## Other

- **Enumeration date:** 04/20/2009
- **Last updated:** 07/19/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2119973 | PK | — |