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PET360 PHARMACY LLC NPI 1518408665


NPI Information

NPI: 1518408665
Provider Name: PET360 PHARMACY LLC

Doing Business As: PET360 PHARMACY LLC

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
2815 WATTERSON TRL
LOUISVILLE, KY
ZIP 40299
Phone: (502) 716-7301
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PET360 PHARMACY LLC is a pharmacy in Louisville, KY. The provider is 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. PET360 PHARMACY LLC NPI is 1518408665. The provider is registered as an organization entity type.
The provider Is Doing Business As Pet360 Pharmacy Llc.

The provider's business location address is:

2815 WATTERSON TRL
LOUISVILLE, KY
ZIP 40299-868
Phone: (502) 716-7301
Fax: (866) 253-0274

The provider's authorized official is Justin Mills .
The authorized official title is Pic and has the following contact phone number (502) 716-7301.

The enumeration date for this NPI number is 3/9/2017 and was last updated on 3/9/2017.


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
13336M0002XPharmacyMail Order PharmacyNo
2333600000XPharmacyP07685KENTUCKYYes

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
12168106OTHERPK

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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