Organization
PANNICHE COMPOUNDING, LTD CO
Active
Other names
Pharm Worx
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHASE B HIGGINSON PHARM.D. (PHARMACIST IN CHARGE)
(270) 823-2986
Entity
Organization
Contact information
Practice address
5703 PRESTON HWY, LOUISVILLE, KY 40219-1305
(502) 442-0696
(502) 442-0696
Mailing address
PO BOX 701693, LOUISVILLE, KY 40270-1693
(502) 442-0696
(502) 442-0696
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
P07477
KY
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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