| Acb Pharmacy | |
|
530 S Jackson St Louisville KY 40202-1675 | |
| (502) 562-4958 | |
| (502) 562-3354 |
| Full Name | Acb Pharmacy |
|---|---|
| Speciality | Pharmacy |
| Location | 530 S Jackson St, Louisville, Kentucky |
| Authorized Official Name and Position | Hope Maniyar (DEPARTMENT MANAGER) |
| Authorized Official Contact | 5025626742 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Acb Pharmacy 530 S Jackson St Louisville KY 40202-1675 Ph: (502) 562-4958 | Acb Pharmacy 530 S Jackson St Louisville KY 40202-1675 Ph: (502) 562-4958 |
| NPI Number | 1538266838 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 03/21/2023 |
| Certification Date | 03/21/2023 |
| Medicare PECOS PAC ID | 0042123598 |
|---|---|
| Medicare Enrollment ID | O20100930010713 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538266838 | NPI | - | NPPES |
| 54030796 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | P06174 (Kentucky) | Secondary |
| 261Q00000X | Clinic/center | (Kentucky) | Secondary |
| 333600000X | Pharmacy | (Kentucky) | Primary |
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