Organization
MY RX LLC
Active
Other names
My Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA FLETCHER PHARMD (PHARMACY MANAGER)
(502) 439-7738
Entity
Organization
Contact information
Practice address
170 DR ARLA WAY STE 105, LOUISVILLE, KY 40229-5454
(502) 277-1425
(502) 277-1427
Mailing address
170 DR ARLA WAY STE 105, LOUISVILLE, KY 40229-5454
(502) 277-1425
(502) 277-1427
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07716
KY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2154580
PK
—
05
—
7100377810
—
KY
Enumeration date
09/23/2015
Last updated
11/21/2018
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