MEDICARE: EUMEDICS HEALTH, LLC

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	333600000X	Pharmacy		KY

General Provider Information

NPI Number	:	1194064949
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EUMEDICS HEALTH, LLC

Provider Business Mailing Address
First Line	:	223 SAINT REGIS DR
Second Line	:
City	:	SHELBYVILLE
State	:	KY
Zip	:	40065-6317
Country	:	US
Telephone Number	:	502-437-9920
Fax Number	:	502-653-5116

Provider Business Practice Location Address
First Line	:	223 SAINT REGIS DR
Second Line	:
City	:	SHELBYVILLE
State	:	KY
Zip	:	40065-6317
Country	:	US
Telephone Number	:	502-437-9920
Fax Number	:	502-653-5116

Authorized Official
Title or Position	:	PRESIDENT & CEO, PIC
Name	:	DR. BILLY-CLYDE CHILDRESS
Credential	:	PHARMD, BCACP, FASCP
Telephone Number	:	502-220-2122

Provider Enumeration Date	:	02/13/2013
Last Update Date	:	03/27/2013

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