Organization
KENTUCKY PHARMACY #1, LLC
Active
Other names
SHELBYVILLE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON ELLIOTT UNDERWOOD PHARMD (SOLE MEMBER)
(502) 437-3008
Entity
Organization
Contact information
Practice address
182 FRANKFORT RD, SHELBYVILLE, KY 40065-9433
(502) 437-3008
Mailing address
PO BOX 1248, SHELBYVILLE, KY 40066-1248
(502) 437-3008
(502) 437-3607
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P07678
KY
Other
Enumeration date
07/20/2015
Last updated
02/28/2025
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