FAMILY HEALTH CENTER PHARMACY
2215 Portland Ave
Louisville, KY 40212
502-774-8631
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0002X | Suppliers - Pharmacy - Clinic Pharmacy |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
DEA | AL4540616 | OTHER | |
NCPDP | 1810894 | OTHER | |
54006044 | KY | MEDICAID | |
STATE LICENSE | P01226 | KY | OTHER |