Healthcare Provider Details

I. General information

NPI: 1144165374
Provider Name (Legal Business Name): WESTERN PHARMACY SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1180 ELIJAH CREEK RD UNIT A
HEBRON KY
41048-8219
US

IV. Provider business mailing address

1180 ELIJAH CREEK RD UNIT A
HEBRON KY
41048-8219
US

V. Phone/Fax

Practice location:
  • Phone: 855-560-8551
  • Fax:
Mailing address:
  • Phone: 855-560-8551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: TRACIE D TAYLOR
Title or Position: PIC
Credential: RPH
Phone: 855-560-8551