Organization
LOUSIVILLE PHARMACY INC
Active
Other names
Medicine Center Institutional Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY WHITE (VICE PRESIDENT)
(330) 323-8339
Entity
Organization
Contact information
Practice address
700 W MAIN ST, SUITE A, LOUISVILLE, OH 44641-1338
(330) 875-9090
(330) 875-3388
Mailing address
700 W MAIN ST, SUITE A, LOUISVILLE, OH 44641-1338
(330) 875-9090
(330) 875-3388
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
021948200
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2119973
PK
—
Enumeration date
04/20/2009
Last updated
07/19/2018
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