Provider Demographics
NPI:1942334503
Name:VP PHARMACY PARTNERS LLC
Entity Type:Organization
Organization Name:VP PHARMACY PARTNERS LLC
Other - Org Name:LOUISVILLE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:ERIK
Authorized Official - Middle Name:
Authorized Official - Last Name:MAYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-894-4464
Mailing Address - Street 1:3930 DUPONT CIR STE 1
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-4806
Mailing Address - Country:US
Mailing Address - Phone:502-894-4464
Mailing Address - Fax:502-893-4460
Practice Address - Street 1:3930 DUPONT CIR STE 1
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4806
Practice Address - Country:US
Practice Address - Phone:502-894-4464
Practice Address - Fax:502-893-4460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYP062913336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy