Organization
PARMISS CORP
Active
Other names
US PHARMACY #2
Organization subpart
No
Provider details
NPI number
Authorized official
ESFANDIAR KHOSRAVI (OWNER/ PIC)
(502) 365-4655
Entity
Organization
Contact information
Practice address
10278 SHELBYVILLE RD, LOUISVILLE, KY 40223-2955
(502) 365-4655
Mailing address
10278 SHELBYVILLE RD, LOUISVILLE, KY 40223-2955
(502) 365-4655
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P07498
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1832915
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/10/2012
Last updated
03/21/2012
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