Organization
FAMILY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL RIDDICK (CEO)
(502) 774-8631
Entity
Organization
Contact information
Practice address
4112 TAYLOR BLVD, LOUISVILLE, KY 40215-2342
(502) 632-1954
(502) 775-6155
Mailing address
PO BOX 950244, LOUISVILLE, KY 40295-0244
(502) 953-4700
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
12/22/2023
Last updated
05/07/2026
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