Organization
M C CRONEN & ASSOC, INC PSC
Active
Other names
TPI Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GARY GREEN (MANAGER)
(502) 939-6085
Entity
Organization
Contact information
Practice address
252 WHITTINGTON PKWY, LOUISVILLE, KY 40222-4904
(502) 423-7246
(866) 263-2295
Mailing address
3206 WILDWOOD TRL, LA GRANGE, KY 40031-8232
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P07693
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2152473
PK
—
Enumeration date
06/17/2015
Last updated
06/17/2015
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