Organization
SSII PHARMA LLC
Active
Other names
LIFECARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SUJATHA VEERANKI (MANAGER)
(502) 912-8966
Entity
Organization
Contact information
Practice address
1502 S 7TH ST, LOUISVILLE, KY 40208-1711
(502) 912-8966
(502) 371-5439
Mailing address
1502 S 7TH ST, LOUISVILLE, KY 40208-1711
(502) 912-8966
(502) 371-5439
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07797
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2145588
PK
—
Enumeration date
05/05/2014
Last updated
09/12/2016
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