Organization
METHODIST HEALTH, INC.
Active
Other names
Deaconess Family Pharmacy Henderson
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN MCCOY (CEO)
(812) 450-5000
Entity
Organization
Contact information
Practice address
1305 N ELM ST, HENDERSON, KY 42420-2783
(812) 450-3784
Mailing address
1305 N ELM ST, HENDERSON, KY 42420-2783
(812) 450-3784
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01012053
—
KY
Enumeration date
07/19/2019
Last updated
09/08/2020
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