Organization
DROSERA INC HUME PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL SHEETS RPH (VICE-PRESIDENT)
(502) 267-7453
Entity
Organization
Contact information
Practice address
10216 TAYLORSVILLE RD, JEFFERSONTOWN, KY 40299-3616
(502) 267-7453
(502) 267-7455
Mailing address
10216 TAYLORSVILLE RD, JEFFERSONTOWN, KY 40299-3616
(502) 267-7453
(502) 267-7455
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P02191
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801516
NABP
KY
05
—
54012281
—
KY
Enumeration date
02/10/2007
Last updated
08/22/2020
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