Family Health Center Pharmacy

LBN: Family Health Center Pharmacy
Family Health Center Pharmacy is an health care organization with primary practice located at 2215 Portland Ave , Louisville KY 40212-1033. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. Family Health Center Pharmacy can be contacted via phone (502) 774-8631, or through Wagner, William B via phone (502) 774-8631.

Contact Information

Primary practice address
2215 Portland Ave Louisville KY 40212-1033
Phone: (502) 774-8631
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wagner, William B
Phone: (502) 774-8631

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X

Profile Details

NPI number 1982789459
LBN Legal business name Family Health Center Pharmacy
DBA Doing business as
Authorized official Wagner, William B
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2006
Last updated Mar 7th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982789459 NPPES
Other 1810894 NCPDP
MEDICAID 54006044 NCPDP
Other P01226 NCPDP

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