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Organization

ST. MATTHEWS PHARMACY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FARA TIPPIT (PHARMACY ADMINISTRATIVE SPECIALIST)
(502) 760-0089
Entity
Organization

Contact information

Practice address
161 SEARS AVE, 278, LOUISVILLE, KY 40207
(502) 406-2109
(844) 601-3444
Mailing address
9500 ORMSBY STATION RD STE 400, LOUISVILLE, KY 40223-4076

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary

Other

Enumeration date
04/20/2026
Last updated
04/20/2026
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