National Provider Identifier Database

PET360 PHARMACY LLC
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

PET360 PHARMACY LLC
2815 WATTERSON TRL
LOUISVILLE, KY40299-3868
Phone: 502-716-7301
Fax: 866-253-0274
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Mail Order Pharmacy 3336M0002X

* Indicates primary specialty

NPI Profile & details for PET360 PHARMACY LLC

NPI Number 1518408665
Legal business name
LBN
PET360 PHARMACY LLC
Authorized official JUSTIN MILLS - (PIC)
Entity Organization
Organization subpart No
Enumeration date 03/09/2017
Last updated 03/09/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • KY License #: P07685
  • Other: 2168106 PK

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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