Organization
PASADENA PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY S HARRIS PHARMD (OWNER/PHARMACIST)
(859) 260-2469
Entity
Organization
Contact information
Practice address
280 PASADENA DR, LEXINGTON, KY 40503-2925
(859) 260-2469
Mailing address
280 PASADENA DR, LEXINGTON, KY 40503-2925
(859) 260-2469
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P07228
KY
3336C0004X
Compounding Pharmacy
P07228
KY
Other
Enumeration date
02/25/2008
Last updated
01/16/2014
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