Organization
SAINT JOSEPH HEALTH SYSTEM, INC.
Active
Other names
Saint Joseph Health Community Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC GILLIAM (PRESIDENT)
(859) 967-5750
Entity
Organization
Contact information
Practice address
120 N EAGLE CREEK DR STE 101, SUITE 101, LEXINGTON, KY 40509-1827
(859) 967-5923
(859) 967-5654
Mailing address
120 N EAGLE CREEK DR STE 101, SUITE 101, LEXINGTON, KY 40509-1827
(859) 967-5923
(859) 967-5654
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07859
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2175319
PK
—
Enumeration date
01/25/2018
Last updated
01/30/2019
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