JAG MEDICAL LLC

Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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Contact Information

JAG MEDICAL LLC

9813 MERIONETH DR
LOUISVILLE, KY 40299

Phone: 502-410-0146
Fax: 866-263-2295
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Community/Retail Pharmacy	3336C0003X	58	Medical Supply Company with Pharmacist
Compounding Pharmacy	3336C0004X	58	Medical Supply Company with Pharmacist
Pharmacy	333600000X	58	Medical Supply Company with Pharmacist

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NPI Profile & details for JAG MEDICAL LLC

NPI Number 1871972620

LBN Legal business name JAG MEDICAL LLC

Authorized official ANN LOGSDON - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/27/2015

Last updated 09/02/2020 - About 6 years ago

Identifiers

KY	License #	P07689
KY	Medicaid	7100358700
	Other	2152022	PK

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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JAG MEDICAL LLC

Contact Information

Specialty

Community/Retail Pharmacy

Compounding Pharmacy

Pharmacy

NPI Profile & details for JAG MEDICAL LLC

Reviews for JAG MEDICAL LLC