# HARVEST GROVE LTC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PharMerica
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548874316
- **Authorized official:** ALLISON L. BROWN (SECRETARY)
- **Authorized official phone:** (502) 630-7429

## Contact information

- **Practice address:** 1113 MEDINA RD STE 700, MEDINA, OH 44256-9335
- **Practice address phone:** (888) 322-6216
- **Practice address fax:** (800) 258-9178
- **Mailing address:** 805 N WHITTINGTON PKWY STE 400, LOUISVILLE, KY 40222-7101
- **Mailing address phone:** (502) 627-7100
- **Mailing address fax:** (855) 217-7498

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 08/31/2020
- **Last updated:** 04/07/2025