Organization
NEPHRON PHARMACY LLC
Active
Other names
Superior Postop
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HANK J JIBAJA JR. (CEO)
(407) 579-4797
Entity
Organization
Contact information
Practice address
3499 BLAZER PKWY STE G10 NORTH, LEXINGTON, KY 40509-1850
(859) 327-3102
(803) 219-3858
Mailing address
3499 BLAZER PARKWAY, SUITE G10 NORTH, LEXINGTON, KY 40509
(859) 327-3102
(803) 219-3858
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
12/29/2021
Last updated
12/18/2023
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