| NPI | 1194650630 |
|---|---|
| Doing Business As | ST MATTHEWS PHARMACY 10 |
| Entity Type | Organization |
| Authorized Contact | FARA TIPPIT Pharmacy Administrative Specialist 502-760-0089 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2026-06-16 |
| Last Update Date | 2026-06-16 |