Organization
LOUISVILLE PHARMACY INC
Active
Other names
Medicine Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD WHITE B.S (VICE PRESIDENT)
(330) 339-4466
Entity
Organization
Contact information
Practice address
700 W MAIN ST, LOUISVILLE, OH 44641-1338
(330) 875-5525
(330) 875-9798
Mailing address
2523 TUSCARAWAS ST W, CANTON, OH 44708-4701
(330) 453-4804
(330) 453-7688
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
020557650
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0713660
—
OH
01
—
2070772
PK
—
Enumeration date
09/12/2006
Last updated
05/01/2017
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