Organization
ST ELIZABETH OUTPATIENT PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOM L WARE RPH (PIC)
(859) 301-5348
Entity
Organization
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-5348
(859) 301-5344
Mailing address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-5348
(859) 301-5344
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
PO6507
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54000591
—
KY
Enumeration date
01/16/2007
Last updated
06/21/2010
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