Organization
PATEK PHARMACY LLC
Active
Other names
Patek Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES CASANOVA (MGR)
(786) 715-0098
Entity
Organization
Contact information
Practice address
8600 PRESTON HWY, LOUISVILLE, KY 40219-5306
(786) 715-0098
Mailing address
8600 PRESTON HWY, LOUISVILLE, KY 40219-5306
(786) 715-0098
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
P08004
KY
Other
Enumeration date
05/23/2018
Last updated
08/17/2018
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