ST. MATTHEWS PHARMACY PLLC NPI 1699319814

NPI Information

ST. MATTHEWS PHARMACY PLLC 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. ST. MATTHEWS PHARMACY PLLC NPI is 1699319814. The provider is registered as an organization entity type.

The provider's business location address is:

200 N HURSTBOURNE PKWY STE 174
LOUISVILLE, KY
ZIP 40222-138
Phone: (502) 690-4462
Fax: (502) 690-4466

The provider's authorized official is Bradley Eckmann .
The authorized official title is Cfo and has the following contact phone number (502) 314-0146.

The CLIA number assigned to this NPI record is 18D2074673 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/31/2019 and was last updated on 2/22/2022.

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:

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