Organization
JAG MEDICAL LLC
Active
Other names
RX Alternatives, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ANN LOGSDON (OWNER)
(502) 410-0146
Entity
Organization
Contact information
Practice address
9813 MERIONETH DR, LOUISVILLE, KY 40299
(502) 410-0146
(866) 263-2295
Mailing address
9813 MERIONETH DR, LOUISVILLE, KY 40299
(502) 410-0146
(866) 263-2295
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
P07689
KY
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2152022
PK
—
05
—
7100358700
—
KY
Enumeration date
05/27/2015
Last updated
09/02/2020
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