Commonwealth of Kentucky
NPI #1023193067 in Louisville, Kentucky
Provider Information
- NPI Number
- 1023193067
- Entity Type
- Organization
- Organization Name
- Commonwealth of Kentucky
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- COMMONWEALTH OF KENTUCKY
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Oct 26, 2006
- Last Updated
- Oct 20, 2023
Practice Location
- Address
- 1800 BLUEGRASS AVE
- City
- Louisville
- State
- Kentucky
- ZIP Code
- 40214
- Phone
- (502) 361-2301
Authorized Official
- Name
- KATIE MARKS
- Title
- COMMISSIONER
- Phone
- (502) 782-6106
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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