NPI | 1124144456 |
---|---|
Doing Business As | WESTERN STATE HOSPITAL PHARMACY |
Entity Type | Organization |
Authorized Contact | STEPHANIE CRAYCRAFT Director 502-782-6243 |
Organization Subpart ? | Yes |
Primary Taxonomy | 183500000X Pharmacist |
Additional Taxonomies | 1835G0303X Pharmacist Geriatric |
1835P1300X Pharmacist Psychiatric | |
3336L0003X Pharmacy Long Term Care Pharmacy (Licence: KY P05010) | |
3336L0003X Pharmacy Long Term Care Pharmacy (Licence: KY P06561) | |
Enumeration Date | 2007-03-21 |
Last Update Date | 2015-07-08 |