Organization
LAUREL HOUSING INC
Active
Other names
LAUREL HEIGHTS NURSING HOME PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TOM HOUCHENS PHARMD (PHARMACY DIRECTOR)
(606) 864-4155
Entity
Organization
Contact information
Practice address
208 W 12TH ST, LONDON, KY 40741-1101
(606) 864-4155
(606) 864-1135
Mailing address
208 W 12TH ST, LONDON, KY 40741-1101
(606) 864-4155
(606) 864-1135
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
P01806
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2030568
PK
—
05
—
54019625
—
KY
Enumeration date
12/13/2006
Last updated
12/22/2016
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