Park Duvalle Newburg Community Pharmacy

LBN: Park Duvalle Community Health Center, Inc
Park Duvalle Newburg Community Pharmacy is an health care organization with primary practice located at 3828 Bardstown Rd , Louisville KY 40218-1527. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. Park Duvalle Community Health Center, Inc can be contacted via phone (502) 479-8930, or through Jett, Swannie via phone (502) 774-4401.

Contact Information

Primary practice address
3828 Bardstown Rd Louisville KY 40218-1527
Phone: (502) 479-8930
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jett, Swannie
Phone: (502) 774-4401

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X

Profile Details

NPI number 1578286985
LBN Legal business name Park Duvalle Community Health Center, Inc
DBA Doing business as Park Duvalle Newburg Community Pharmacy
Authorized official Jett, Swannie
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 21st, 2022
Last updated Sep 21st, 2022 - about 3 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 1578286985 NPPES
Kentucky Other P08243 PHARMACY LIC
Kentucky MEDICAID 31000011 PHARMACY LIC

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