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Organization

HARVEST GROVE LTC, LLC

Active
Other names
PharMerica
Organization subpart
No

Provider details

NPI number
Authorized official
ALLISON L. BROWN (SECRETARY)
(502) 630-7429
Entity
Organization

Contact information

Practice address
1113 MEDINA RD STE 700, MEDINA, OH 44256-9335
(888) 322-6216
(800) 258-9178
Mailing address
805 N WHITTINGTON PKWY STE 400, LOUISVILLE, KY 40222-7101
(502) 627-7100
(855) 217-7498

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
3336C0004X
Compounding Pharmacy
3336L0003X
Long Term Care Pharmacy

Other

Enumeration date
08/31/2020
Last updated
04/07/2025
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