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NPI Code Detail

MEDICARE: CAITLIN MARIE FERGUSON

MEDICARE: CAITLIN MARIE FERGUSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist024445KY

General Provider Information

NPI Number : 1598698862
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAITLIN MARIE FERGUSON
Provider Business Mailing Address
First Line : 9209 COLLINGWOOD RD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40299-1422
Country : US
Telephone Number : 859-619-6445
Fax Number :
Provider Business Practice Location Address
First Line : 5020 NORTON HEALTHCARE BLVD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40241-2835
Country : US
Telephone Number : 859-619-6445
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2026
Last Update Date : 06/05/2026

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Directions to “ CAITLIN MARIE FERGUSON ” Practice Location

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