MEDICARE: RHEMAWELL PHARMACY

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	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1154294304
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RHEMAWELL PHARMACY

Provider Business Mailing Address
First Line	:	2600 W BROADWAY
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40211-1366
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2600 W BROADWAY STE 105
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40211-1303
Country	:	US
Telephone Number	:	815-608-2662
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. FLORENCE OSISANYA
Credential	:	PHARM D, RPH
Telephone Number	:	815-608-2662

Provider Enumeration Date	:	09/24/2025
Last Update Date	:	09/24/2025

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Directions to “RHEMAWELL PHARMACY ” Practice Location

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