Organization
ST. ELIZABETH MEDICAL CENTER, INC.
Active
Parent organization
ST. ELIZABETH MEDICAL CENTER, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. ELIZABETH MEDICAL CENTER, INC.
Authorized official
GARY BLANK (EVP/COO)
(859) 301-2370
Entity
Organization
Contact information
Practice address
850 THOMAS MORE PARKWAY, EDGEWOOD, KY 41017
(859) 301-4525
Mailing address
20 MEDICAL VILLAGE DRIVE, EDGEWOOD, KY 41017
(859) 301-9025
(859) 301-6791
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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