Organization
MEDPHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA FALLER (CEO)
(270) 566-4429
Entity
Organization
Contact information
Practice address
11840 COMMONWEALTH DR, LOUISVILLE, KY 40299-2309
(502) 409-7324
(502) 409-7278
Mailing address
11840 COMMONWEALTH DR, LOUISVILLE, KY 40299-2309
(502) 409-7324
(502) 409-7278
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
P07688
KY
332B00000X
Durable Medical Equipment & Medical Supplies
—
KY
333600000X
Pharmacy
Primary
—
KY
3336C0004X
Compounding Pharmacy
P07688
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100343870
—
KY
01
—
PO7688
KY PHARMACY
KY
Enumeration date
04/17/2015
Last updated
01/15/2016
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