Organization · Type 2 NPI

Commonwealth of Kentucky

Long Term Care Pharmacy · Louisville, KY

NPI number 1023193067 Active

Practice location

1800 Bluegrass Ave
Louisville, KY 40214

Specialties and licenses

Taxonomy	Code	License
Long Term Care Pharmacy Primary	3336L0003X	P05011 (KY)

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Another provider at this address

Regan Bream, PTAPhysical Therapy Assistant Louisville, KY NPI 1497153761

Other long term care pharmacy providers in Louisville

See all in Louisville →

NPI record

NPI: 1023193067
Entity type: Organization (Type 2)
Issued: Oct 26, 2006
Last updated: Oct 20, 2023
Status: Active
Subpart: Yes of Commonwealth of Kentucky

Other names

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Hazelwood Center Pharmacy · doing business as
Hazelwood Center Pharmacy · doing business as

Authorized official

Katie Marks
Commissioner
(502) 782-6106

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1023193067

Commonwealth of Kentucky's National Provider Identifier is 1023193067, issued on Oct 26, 2006. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Louisville, KY. The record was last updated on Oct 20, 2023.