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Contact Information

ST. MATTHEWS PHARMACY LLC
200 N HURSTBOURNE PKWY STE 174
LOUISVILLE, KY40222-5138
 Phone: 502-690-4462
 Fax: 502-690-4466
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ST. MATTHEWS PHARMACY LLC

NPI Number 1760815823
LBN Legal business name ST. MATTHEWS PHARMACY LLC
Authorized official BRADLEY ECKMANN - (CEO & PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/13/2013
Last updated 03/17/2026 - About 3 months ago
Identifiers
KY License # P07589
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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