Organization
ST. MATTHEWS PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARA TIPPIT (PHARMACY ADMINISTRATIVE SPECIALIST)
(502) 760-0089
Entity
Organization
Contact information
Practice address
914 E BROADWAY STE 104, LOUISVILLE, KY 40204-1184
(502) 406-2108
(844) 601-3446
Mailing address
9500 ORMSBY STATION RD STE 400, LOUISVILLE, KY 40223-4076
(502) 406-2108
(844) 601-3446
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
05/19/2026
Last updated
08/19/2026
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