Organization
PHARMACY, INC.
Active
Organization
PHARMACY, INC.
Active
Parent organization
AEROCARE HOLDINGS LLC
Other names
AeroCare
Organization subpart
Yes
Provider details
NPI number
Legal business name
AEROCARE HOLDINGS LLC
Authorized official
WENDY RUSSALESI (CCO)
(484) 246-9499
Entity
Organization
Contact information
Practice address
370 INDUSTRIAL RD, MURRAY, KY 42071
(866) 280-3494
(866) 855-6341
Mailing address
555 E NORTH LN STE 5075, CONSHOHOCKEN, PA 19428-2490
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
KY
3336C0003X
Community/Retail Pharmacy
Primary
P07295
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2130888
PK
—
05
—
9000603200
—
KY
Enumeration date
10/13/2005
Last updated
10/15/2025
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