Organization
JEWISH HOSPITAL & ST MARY'S HEALTHCARE
Active
Other names
Pharmacy Plus 2
Organization subpart
No
Provider details
NPI number
Authorized official
MARK MILBURN (DIRECTOR)
(502) 363-3791
Entity
Organization
Contact information
Practice address
1850 BLUEGRASS AVE, ATTN PHARMACY PLUS, LOUISVILLE, KY 40215-1161
(502) 363-3791
Mailing address
1850 BLUEGRASS AVE, ATTN PHARMACY PLUS, LOUISVILLE, KY 40215-1161
(502) 363-3791
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
P07194
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P07194
STATE PHARMACY PERMIT
KY
Enumeration date
06/27/2007
Last updated
08/22/2020
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