Organization
SAINT JOSEPH BEREA HOSPITAL OUTPATIENT PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOANNE D. O'KANE PHARMD (PHARMACY MANAGER)
(859) 986-6541
Entity
Organization
Contact information
Practice address
305 ESTILL ST, BEREA, KY 40403-1742
(859) 986-6541
(859) 986-2697
Mailing address
305 ESTILL ST, BEREA, KY 40403-1742
(859) 986-6541
(859) 986-2697
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
09724
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1813333
NABP NUMBER
KY
05
—
54023502
—
KY
01
—
P07094
STATE LICENSE
KY
Enumeration date
07/08/2005
Last updated
09/07/2007
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