MEDICARE: HOME PHARMACY SOLUTIONS, 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	P06820	KY

General Provider Information

NPI Number	:	1538145461
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME PHARMACY SOLUTIONS, LLC

Provider Business Mailing Address
First Line	:	102 W MAIN ST
Second Line	:	SUITE C
City	:	WARSAW
State	:	KY
Zip	:	41095-9300
Country	:	US
Telephone Number	:	859-567-4603
Fax Number	:	859-567-4604

Provider Business Practice Location Address
First Line	:	102 W MAIN ST
Second Line	:	SUITE C
City	:	WARSAW
State	:	KY
Zip	:	41095-9300
Country	:	US
Telephone Number	:	859-567-4603
Fax Number	:	859-567-4604

Authorized Official
Title or Position	:	V.P.
Name	:	MRS. PATRICIA DOROTHY LONG
Credential	:
Telephone Number	:	859-567-4603

Provider Enumeration Date	:	12/22/2005
Last Update Date	:	08/22/2020

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