Provider Demographics
NPI:1730291683
Name:LUDLOW PHARMACY INC
Entity Type:Organization
Organization Name:LUDLOW PHARMACY INC
Other - Org Name:LUDLOW PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CPHT/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LITMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-261-2210
Mailing Address - Street 1:130 ELM ST
Mailing Address - Street 2:
Mailing Address - City:LUDLOW
Mailing Address - State:KY
Mailing Address - Zip Code:41016-1520
Mailing Address - Country:US
Mailing Address - Phone:859-261-2210
Mailing Address - Fax:859-292-2873
Practice Address - Street 1:130 ELM ST
Practice Address - Street 2:
Practice Address - City:LUDLOW
Practice Address - State:KY
Practice Address - Zip Code:41016-1520
Practice Address - Country:US
Practice Address - Phone:859-261-2210
Practice Address - Fax:859-292-2873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2014-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X, 3336C0004X, 3336S0011X
KYPO14033336C0003X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY54016902Medicaid
2029557OtherPK
2029557OtherPK