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COMMONWEALTH OF KENTUCKY NPI 1023193067


NPI Information

NPI: 1023193067
Provider Name: COMMONWEALTH OF KENTUCKY

Doing Business As: HAZELWOOD CENTER PHARMACY

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

CLIA Number: 18D0648454

Address:
1800 BLUEGRASS AVE
LOUISVILLE, KY
ZIP 40214
Phone: (502) 361-2301
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COMMONWEALTH OF KENTUCKY is a long term care pharmacy pharmacy in Louisville, KY. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. COMMONWEALTH OF KENTUCKY NPI is 1023193067. The provider is registered as an organization entity type.
The provider Is Doing Business As Hazelwood Center Pharmacy.

The provider's business location address is:

1800 BLUEGRASS AVE
LOUISVILLE, KY
ZIP 40214
Phone: (502) 361-2301

The provider's authorized official is Wendy Morris .
The authorized official title is Commissioner and has the following contact phone number (502) 564-4527.

The CLIA number assigned to this NPI record is 18D0648454 - intermediate care facility/individuals with intellectual disability with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 2/20/2018.


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
13336L0003XPharmacyLong Term Care PharmacyP05011KENTUCKYYes

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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