Provider Demographics
NPI:1699202838
Name:PHARMACORD LLC
Entity Type:Organization
Organization Name:PHARMACORD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR. DIRECTOR PHARMACY
Authorized Official - Prefix:
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:FORINASH
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:866-743-0732
Mailing Address - Street 1:6100 DUTCHMANS LN
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40205-3284
Mailing Address - Country:US
Mailing Address - Phone:502-805-3400
Mailing Address - Fax:
Practice Address - Street 1:11001 BLUEGRASS PKWY STE 200
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40299-2368
Practice Address - Country:US
Practice Address - Phone:866-743-0732
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYP07840333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy