Organization
SCPG KENTUCKY LLC
Active
Parent organization
SC PHARMACY GROUP OPCO LLC
Other names
Express Rx of Taylorsville
Organization subpart
Yes
Provider details
NPI number
Legal business name
SC PHARMACY GROUP OPCO LLC
Authorized official
UMAR FAROOQ (PRESIDENT)
(501) 392-8680
Entity
Organization
Contact information
Practice address
847 TAYLORSVILLE RD, TAYLORSVILLE, KY 40071
(502) 477-2267
(502) 477-2283
Mailing address
PO BOX 34407, LITTLE ROCK, AR 72203-4407
(501) 534-4459
(501) 534-4460
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07097
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100176430
—
KY
Enumeration date
07/25/2006
Last updated
11/18/2025
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