MEDICARE: VALU DISCOUNT, INC.

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	183500000X	Pharmacist	P06325	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770573974
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALU DISCOUNT, INC.

Provider Business Mailing Address
First Line	:	7519 OUTER LOOP
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40228-1726
Country	:	US
Telephone Number	:	502-231-2424
Fax Number	:	502-231-8748

Provider Business Practice Location Address
First Line	:	7519 OUTER LOOP
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40228-1726
Country	:	US
Telephone Number	:	502-231-2424
Fax Number	:	502-882-7750

Authorized Official
Title or Position	:	P.I.C.
Name	:	MR. R PAUL EASLEY
Credential	:	RPH.
Telephone Number	:	502-231-2424

Provider Enumeration Date	:	10/27/2005
Last Update Date	:	02/01/2023

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Directions to “VALU DISCOUNT, INC. ” Practice Location

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