MEDICARE: LUDLOW PHARMACY INC

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
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	333600000X	Pharmacy
3	3336C0004X	Compounding Pharmacy
4	3336S0011X	Specialty Pharmacy
5	3336C0003X	Community/Retail Pharmacy	PO1403	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2029557	OTHER		PK

General Provider Information

NPI Number	:	1730291683
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUDLOW PHARMACY INC

Provider Business Mailing Address
First Line	:	130 ELM ST
Second Line	:
City	:	LUDLOW
State	:	KY
Zip	:	41016-1520
Country	:	US
Telephone Number	:	859-261-2210
Fax Number	:	859-292-2873

Provider Business Practice Location Address
First Line	:	130 ELM ST
Second Line	:
City	:	LUDLOW
State	:	KY
Zip	:	41016-1520
Country	:	US
Telephone Number	:	859-261-2210
Fax Number	:	859-292-2873

Authorized Official
Title or Position	:	CPHT/ OWNER
Name	:	KATIE LITMER
Credential	:
Telephone Number	:	859-261-2210

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	08/11/2014

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Directions to “LUDLOW PHARMACY INC ” Practice Location

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