Provider Demographics
NPI:1235569203
Name:TOOLE'S COMPOUNDING PHARMACY, LLC
Entity Type:Organization
Organization Name:TOOLE'S COMPOUNDING PHARMACY, LLC
Other - Org Name:TOOLE'S COMPOUNDING PHARMACY & WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/PHARMACIST-IN-CHARGE
Authorized Official - Prefix:MR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:TOOLE
Authorized Official - Suffix:
Authorized Official - Credentials:RPH, CCN
Authorized Official - Phone:502-550-1438
Mailing Address - Street 1:5815 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:EMINENCE
Mailing Address - State:KY
Mailing Address - Zip Code:40019-1128
Mailing Address - Country:US
Mailing Address - Phone:502-550-1438
Mailing Address - Fax:
Practice Address - Street 1:58 CITATION LN
Practice Address - Street 2:
Practice Address - City:CAMPBELLSBURG
Practice Address - State:KY
Practice Address - Zip Code:40011-7590
Practice Address - Country:US
Practice Address - Phone:502-550-1438
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-12
Last Update Date:2013-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYP075803336C0003X, 3336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy