Organization
CENTERWELL PHARMACY, INC.
Active
Other names
Humana Pharmacy, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN LYSINGER (VP)
(502) 580-2376
Entity
Organization
Contact information
Practice address
9843 WINDISCH RD, WEST CHESTER, OH 45069-3826
(800) 486-2668
(877) 405-7940
Mailing address
PO BOX 78665, MILWAUKEE, WI 53278-8665
(800) 486-2668
(877) 405-7940
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
MOP.021826600-03
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2119494
PK
—
05
—
7100134800
—
KY
Enumeration date
03/23/2009
Last updated
02/24/2026
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