Provider Demographics
NPI:1881274637
Name:LEVISA PHARMACY LLC
Entity type:Organization
Organization Name:LEVISA PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-552-0374
Mailing Address - Street 1:137 N LEVISA RD
Mailing Address - Street 2:
Mailing Address - City:MOUTHCARD
Mailing Address - State:KY
Mailing Address - Zip Code:41548-8116
Mailing Address - Country:US
Mailing Address - Phone:606-835-4991
Mailing Address - Fax:
Practice Address - Street 1:137 N LEVISA RD
Practice Address - Street 2:
Practice Address - City:MOUTHCARD
Practice Address - State:KY
Practice Address - Zip Code:41548-8116
Practice Address - Country:US
Practice Address - Phone:606-835-4991
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-14
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy