Organization
UNIVERSITY MEDICAL CENTER INC
Active
Other names
Ambulatory Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS DANIEL MILLER (CEO)
(502) 562-4004
Entity
Organization
Contact information
Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 562-3571
(502) 562-6742
Mailing address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 562-3571
(502) 562-6742
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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