Organization
SAINT JOSEPH HEALTH SYSTEM, INC.
Active
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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