| NPI | 1407367410 |
|---|---|
| Doing Business As | ST MATTHEWS SPECIALTY PHARMACY LLC |
| Entity Type | Organization |
| Authorized Contact | BRAD ECKMANN Owner 502-314-0146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: KY P07869) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2024-04-02 |