Provider Demographics
NPI:1972648889
Name:TOWER PHARMACEUTICALS, LLC
Entity Type:Organization
Organization Name:TOWER PHARMACEUTICALS, LLC
Other - Org Name:MEDICAL TOWERS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:ZENTNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-583-6777
Mailing Address - Street 1:234 E GRAY ST
Mailing Address - Street 2:SUITE 140
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-1900
Mailing Address - Country:US
Mailing Address - Phone:502-583-6777
Mailing Address - Fax:502-583-6776
Practice Address - Street 1:234 E GRAY ST
Practice Address - Street 2:SUITE 140
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-1900
Practice Address - Country:US
Practice Address - Phone:502-583-6777
Practice Address - Fax:502-583-6776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYP069413336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY90013525Medicaid