Organization
UNIVERSITY MEDICAL CENTER INC
Active
Other names
ACB Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HOPE MANIYAR PHARMD (DEPARTMENT MANAGER)
(502) 562-6742
Entity
Organization
Contact information
Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 562-4958
(502) 562-3354
Mailing address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 562-4958
(502) 562-3354
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
P06174
KY
261Q00000X
Clinic/Center
—
KY
333600000X
Pharmacy
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54030796
—
KY
Enumeration date
09/20/2006
Last updated
03/21/2023
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