Provider Demographics
NPI:1639163678
Name:FLEXIBLE PHARMACY SERVICES, PLLC
Entity Type:Organization
Organization Name:FLEXIBLE PHARMACY SERVICES, PLLC
Other - Org Name:KENTUCKY PHARMACY CONSULTING, PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:K
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:502-741-6578
Mailing Address - Street 1:200 HILLCREST AVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40206-1536
Mailing Address - Country:US
Mailing Address - Phone:502-741-4988
Mailing Address - Fax:888-789-5253
Practice Address - Street 1:200 HILLCREST AVE
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40206-1536
Practice Address - Country:US
Practice Address - Phone:502-741-4988
Practice Address - Fax:888-789-5253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-06
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY011145183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYP07246OtherSTATE LICENSE