Organization
UNIVERSITY MEDICAL CENTER INC
Active
Other names
UNIVERSITY OF LOUISVILLE HOSPITAL FACULTY PRACTICE BLD PHAR
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE MORGAN RPH (MANAGER OF OUTPTATIENT PHARMACY SER)
(502) 562-6742
Entity
Organization
Contact information
Practice address
401 E CHESTNUT ST, SUITE 180, LOUISVILLE, KY 40202-5700
(502) 813-6100
(502) 813-6108
Mailing address
401 E CHESTNUT ST, SUITE 180, LOUISVILLE, KY 40202-5700
(502) 813-6100
(502) 813-6108
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07252
KY
3336I0012X
Institutional Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2035137
PK
—
05
—
7100045960
—
KY
Enumeration date
06/05/2008
Last updated
10/13/2016
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