Organization
ST MATTHEWS SPECIALTY PHARMACY LLC
Active
Other names
St Matthews Specialty Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD ECKMANN (OWNER)
(502) 314-0146
Entity
Organization
Contact information
Practice address
200 N HURSTBOURNE PKWY, LOUISVILLE, KY 40222-5138
(844) 690-4462
(844) 524-4673
Mailing address
9500 ORMSBY STATION RD STE 400, LOUISVILLE, KY 40223-4076
(502) 760-0900
(844) 524-4673
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
P07869
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2175327
PK
—
Enumeration date
10/17/2017
Last updated
03/17/2026
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