Organization
KUPPER & SONS LLC
Active
Other names
COX'S VARIETY AND PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARK KUPPER RPH (OWNER AND PHARMACIST)
(502) 364-0901
Entity
Organization
Contact information
Practice address
4934 MANSLICK RD, LOUISVILLE, KY 40216-4026
(502) 364-0901
(502) 364-0407
Mailing address
4934 MANSLICK RD, LOUISVILLE, KY 40216-4026
(502) 364-0901
(502) 364-0407
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P06790
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2034007
PK
—
05
—
5400396700
—
KY
Enumeration date
02/21/2007
Last updated
02/28/2017
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