Organization
WHITEHEAD DRUGS INC
Active
Other names
WHITEHEAD DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRIE HYMAN RPH (PRESIDENT)
(502) 637-1489
Entity
Organization
Contact information
Practice address
1502 S 7TH ST, LOUISVILLE, KY 40208-1711
(502) 637-1489
(502) 637-8766
Mailing address
1502 S 7TH ST, LOUISVILLE, KY 40208-1711
(502) 637-1489
(502) 637-8766
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P06370
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1802607
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
54033568
—
KY
Enumeration date
11/14/2006
Last updated
06/10/2011
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