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JAMAL ABOULHOSN (SOLE PROPRIETOR) NPI 1801990866


NPI Information

NPI: 1801990866
Provider Name: JAMAL ABOULHOSN (SOLE PROPRIETOR)

Doing Business As: EAST BROADWAY PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
2304 HURSTBOURNE VILLAGE DR
STE 700
LOUISVILLE, KY
ZIP 40299
Phone: (502) 589-1828
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JAMAL ABOULHOSN (SOLE PROPRIETOR) is a community/retail pharmacy pharmacy in Louisville, KY. The provider is 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. JAMAL ABOULHOSN (SOLE PROPRIETOR) NPI is 1801990866. The provider is registered as an organization entity type.
The provider Is Doing Business As East Broadway Pharmacy.

The provider's business location address is:

2304 HURSTBOURNE VILLAGE DR
STE 700
LOUISVILLE, KY
ZIP 40299-853
Phone: (502) 589-1828
Fax: (502) 589-0263

The provider's authorized official is Jamal Aboulhosn .
The authorized official title is Owner,pic,ao and has the following contact phone number (502) 419-3936.

The enumeration date for this NPI number is 9/12/2006 and was last updated on 8/11/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyP01589KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12030357OTHERPK
254018379MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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