Audubon Pharmacy

LBN: Audubon Pharmacy Inc
Audubon Pharmacy is an health care organization with primary practice located at 3503 Poplar Level Rd , Louisville KY 40213-1009. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Audubon Pharmacy Inc can be contacted via phone (502) 371-1002, or through Ullom, Traci via phone (502) 371-1002.

Contact Information

Primary practice address
3503 Poplar Level Rd Louisville KY 40213-1009
Phone: (502) 371-1002
Fax: (502) 371-1005
Website:
Map and Directions
Authorized official contact:
Name: Ullom, Traci RPH
Phone: (502) 371-1002

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X P07058 Kentucky

Profile Details

NPI number 1306943147
LBN Legal business name Audubon Pharmacy Inc
DBA Doing business as Audubon Pharmacy
Authorized official Ullom, Traci RPH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Dec 29th, 2015 - about 10 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 1306943147 NPPES
Other 2034337 PK
MEDICAID 54011911 PK

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