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Organization

FAMILY HEALTH CENTERS

Active
Other names
Family Health Centers Pharmacy Phoenix
Organization subpart
No

Provider details

NPI number
Authorized official
SAMMUEL RIDDICK (CEO)
(502) 774-8631
Entity
Organization

Contact information

Practice address
712 E MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1643
(502) 569-1673
Mailing address
PO BOX 950244, LOUISVILLE, KY 40295-0244
(502) 774-8631

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
P07771
KY
3336C0002X
Clinic Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2160248
PK
05
7100462210
KY
Enumeration date
06/02/2016
Last updated
05/07/2026
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