Organization
UNIVERSITY OF KENTUCKY
Active
Other names
University of Kentucky Clinic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINE DEBORD YOUNCE (CHIEF OF PAYER ADMINISTRATION)
(859) 257-9521
Entity
Organization
Contact information
Practice address
740 S LIMESTONE, FIRST FLOOR, LEXINGTON, KY 40536-0284
(859) 323-5855
(859) 257-3828
Mailing address
740 S LIMESTONE, FIRST FLOOR, LEXINGTON, KY 40536-0284
(859) 323-5855
(859) 257-3828
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
P01621
KY
3336C0002X
Clinic Pharmacy
Primary
P01621
KY
3336S0011X
Specialty Pharmacy
P01621
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001474002
—
WV
05
—
45543592
—
KY
05
—
54008230
—
KY
05
—
90870346
—
KY
Enumeration date
10/04/2006
Last updated
07/18/2022
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