Organization
HOME OF THE INNOCENTS
Active
Other names
The Village Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL ROBINSON (PRESIDENT & CEO)
(502) 596-1042
Entity
Organization
Contact information
Practice address
1100 E MARKET ST, LOUISVILLE, KY 40206-1838
(502) 596-1232
(502) 596-1430
Mailing address
1100 E MARKET ST, LOUISVILLE, KY 40206-1838
(502) 596-1232
(502) 596-1430
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
P07380
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2125921
PK
—
05
—
7100126000
—
KY
Enumeration date
07/28/2010
Last updated
04/13/2022
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