Organization
ADELAIDE APOTHECARY, LLC
Active
Parent organization
MAYNE PHARMA COMMERCIAL LLC
Other names
Adelaide Apothecary, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAYNE PHARMA COMMERCIAL LLC
Authorized official
JILL SMITH (PHARMACY MANAGER)
(859) 909-8520
Entity
Organization
Contact information
Practice address
160 MOORE DR STE 105, LEXINGTON, KY 40503-2970
(859) 909-8520
Mailing address
160 MOORE DR STE 105, LEXINGTON, KY 40503-2970
(859) 909-8520
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
—
—
Other
Enumeration date
02/25/2021
Last updated
10/27/2022
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