Organization · Type 2 NPI

Park Duvalle Community Health Center, Inc

Clinic Pharmacy · Louisville, KY

NPI number 1578286985 Active

Practice location

3828 Bardstown Rd
Louisville, KY 40218-1527

Call (502) 479-8930 Map

Mailing address

3015 Wilson Ave
Louisville, KY 40211-1969

Specialties and licenses

Taxonomy	Code	License
Clinic Pharmacy Primary	3336C0002X	None listed

Clinic Pharmacy: A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

7 other providers at this address

Other clinic pharmacy providers in Louisville

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NPI record

NPI: 1578286985
Entity type: Organization (Type 2)
Issued: Sep 21, 2022
Last updated: Sep 21, 2022
Status: Active
Subpart: Yes of Park Duvalle Community Health Center, Inc

Other names

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Park Duvalle Newburg Community Pharmacy · doing business as

Authorized official

Swannie Jett
CEO
(502) 774-4401

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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 1578286985

Park Duvalle Community Health Center, Inc's National Provider Identifier is 1578286985, issued on Sep 21, 2022. The primary taxonomy on file is Clinic Pharmacy (3336C0002X), and the practice location is in Louisville, KY. The record was last updated on Sep 21, 2022.