National Provider Identifier Database

PARK DUVALLE COMMUNITY HEALTH CENTER INC
Clinic Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.


Contact Information

PARK DUVALLE COMMUNITY HEALTH CENTER, INC
3828 BARDSTOWN RD
LOUISVILLE, KY40218-1527
Phone: 502-479-8930
Fax:
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X

* Indicates primary specialty

NPI Profile & details for PARK DUVALLE COMMUNITY HEALTH CENTER, INC

NPI Number 1578286985
Legal business name
LBN
PARK DUVALLE COMMUNITY HEALTH CENTER, INC
Authorized official SWANNIE JETT - (CEO)
Entity Organization
Organization subpart Yes
Enumeration date 09/21/2022
Last updated 09/21/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • KY Medicaid: 31000011
  • KY Other: P08243 PHARMACY LIC

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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