Provider Demographics
NPI:1922700087
Name:SAVE-RITE DRUGS LOUISVILLE
Entity Type:Organization
Organization Name:SAVE-RITE DRUGS LOUISVILLE
Other - Org Name:COMMONS CORNER APOTHECARY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:GABRIEL
Authorized Official - Last Name:VAN LAHR
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:502-805-2301
Mailing Address - Street 1:9407 NORTON COMMONS BLVD
Mailing Address - Street 2:
Mailing Address - City:PROSPECT
Mailing Address - State:KY
Mailing Address - Zip Code:40059-7525
Mailing Address - Country:US
Mailing Address - Phone:502-805-2301
Mailing Address - Fax:502-290-2862
Practice Address - Street 1:9407 NORTON COMMONS BLVD
Practice Address - Street 2:
Practice Address - City:PROSPECT
Practice Address - State:KY
Practice Address - Zip Code:40059-7525
Practice Address - Country:US
Practice Address - Phone:502-805-2301
Practice Address - Fax:502-290-2862
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-21
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy