Provider Demographics
NPI:1033815683
Name:PENNYRILE PRECISION RX CONSULTING, PLLC
Entity Type:Organization
Organization Name:PENNYRILE PRECISION RX CONSULTING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:COREY
Authorized Official - Middle Name:BENTLEY
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:502-265-8904
Mailing Address - Street 1:9462 BROWNSBORO RD # 358
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40241-1118
Mailing Address - Country:US
Mailing Address - Phone:502-215-0136
Mailing Address - Fax:346-762-2076
Practice Address - Street 1:2616 TITLEIST RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40242-6900
Practice Address - Country:US
Practice Address - Phone:502-215-0136
Practice Address - Fax:346-762-2076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-06
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes333600000XSuppliersPharmacy
No183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYCP00143OtherKENTUCKY BOARD OF PHARMACY