Organization
UNIVERSITY OF LOUISVILLE PHYISICIANS, INC.
Active
Other names
ULP Pharmacist Group
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY M MCMASTERS MD (CHAIRMAN)
(502) 583-8303
Entity
Organization
Contact information
Practice address
550 S JACKSON ST, LOUISVILLE, KY 40202-1622
(502) 562-4543
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0320
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K015960
MEDICARE
KY
Enumeration date
12/08/2022
Last updated
12/08/2022
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