Organization
JEWISH HOSPITAL AND ST MARY'S HEALTHCARE, INC.
Active
Parent organization
JEWISH HOSPITAL AND ST MARY'S HEALTHCARE, INC.
Other names
Long Acting Injection Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
JEWISH HOSPITAL AND ST MARY'S HEALTHCARE, INC.
Authorized official
BOB STELTENPOHL (VICE PRESIDENT, FINANCE)
(502) 587-4691
Entity
Organization
Contact information
Practice address
2020 NEWBURG RD, LOUISVILLE, KY 40205-1803
(502) 479-4445
Mailing address
250 E LIBERTY ST, 5TH FLOOR, LOUISVILLE, KY 40202-1530
(502) 569-7924
(502) 587-4904
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P07814
KY
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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