Organization
JEWISH HOSPITAL & ST MARYS HEALTHCARE INC
Active
Other names
PHARMACY PLUS
Organization subpart
No
Provider details
NPI number
Authorized official
MARK MILBURN (DIRECTOR)
(502) 561-3905
Entity
Organization
Contact information
Practice address
220 ABRAHAM FLEXNER WAY, LOUISVILLE, KY 40202-3826
(502) 561-3905
(502) 561-3906
Mailing address
220 ABRAHAM FLEXNER WAY, LOUISVILLE, KY 40202-3826
(502) 561-3905
(502) 561-3906
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
P07166
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1829918
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
7100001450
—
KY
Enumeration date
01/30/2007
Last updated
07/23/2012
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