Organization
FAMILY HEALTH CENTERS
Active
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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