Provider Demographics
NPI:1194064949
Name:EUMEDICS HEALTH, LLC
Entity type:Organization
Organization Name:EUMEDICS HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO, PIC
Authorized Official - Prefix:DR
Authorized Official - First Name:BILLY-CLYDE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHILDRESS
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD, BCACP, FASCP
Authorized Official - Phone:502-220-2122
Mailing Address - Street 1:223 SAINT REGIS DR
Mailing Address - Street 2:
Mailing Address - City:SHELBYVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40065-6317
Mailing Address - Country:US
Mailing Address - Phone:502-437-9920
Mailing Address - Fax:502-653-5116
Practice Address - Street 1:223 SAINT REGIS DR
Practice Address - Street 2:
Practice Address - City:SHELBYVILLE
Practice Address - State:KY
Practice Address - Zip Code:40065-6317
Practice Address - Country:US
Practice Address - Phone:502-437-9920
Practice Address - Fax:502-653-5116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-13
Last Update Date:2013-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy