Organization
PET360 PHARMACY LLC
Active
Other names
Pet360 Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN MILLS (PIC)
(502) 716-7301
Entity
Organization
Contact information
Practice address
2815 WATTERSON TRL, LOUISVILLE, KY 40299-3868
(502) 716-7301
(866) 253-0274
Mailing address
2815 WATTERSON TRL, LOUISVILLE, KY 40299-3868
(502) 716-7301
(866) 253-0274
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
P07685
KY
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2168106
PK
—
Enumeration date
03/09/2017
Last updated
03/09/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
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