Healthcare Provider Details

I. General information

NPI: 1881867943
Provider Name (Legal Business Name): EFILLRX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2008
Last Update Date: 02/17/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6400 DUTCHMANS PKWY STE 140
LOUISVILLE KY
40205-3340
US

IV. Provider business mailing address

6400 DUTCHMANS PKWY STE 140
LOUISVILLE KY
40205-3340
US

V. Phone/Fax

Practice location:
  • Phone: 502-259-5050
  • Fax: 502-259-5051
Mailing address:
  • Phone: 502-259-5050
  • Fax: 502-259-5051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberP07250
License Number StateKY

VIII. Authorized Official

Name: MARK MURPHY
Title or Position: PRESIDENT
Credential:
Phone: 502-259-5050