| 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 | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: KY P05010) |
| 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: KY P06561) | |
| 1835P1300X Pharmacist, Psychiatric | |
| 1835G0303X Pharmacist, Geriatric | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2015-07-08 |