Adelaide Apothecary, LLC

Organization Active NPI Mail Order Pharmacy · Lexington, KY

NPI 1821682295 · NPPES record last updated Oct 27, 2022

Key facts

NPI
1821682295
Entity type
Organization (NPI type 2)
Primary specialty
Mail Order Pharmacy 3336M0002X
Legal business name
ADELAIDE APOTHECARY, LLC
Practice address
160 Moore Dr Ste 105
Lexington, KY 40503-2970
Phone
(859) 909-8520
NPI assigned
Feb 25, 2021
Organization subpart
Yes
Parent organization (as reported)
MAYNE PHARMA COMMERCIAL LLC

Authorized official

Name
Jill Smith
Title
Pharmacy Manager
Phone
(859) 909-8520

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Adelaide Apothecary (2 organizations share this tax ID)

Locations

160 Moore Dr
Ste 105
Lexington, KY 40503
Phone (859) 233-0731

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mail Order Pharmacy 3336M0002X Yes

Addresses

Primary practice location

160 Moore Dr Ste 105
Lexington, KY 40503-2970

Mailing address

160 Moore Dr Ste 105
Lexington, KY 40503-2970
Phone (859) 909-8520

Other names

  • Adelaide Apothecary, LLC Doing business as

Other providers in Lexington, KY

All providers in Lexington, KY · Mail Order Pharmacy in Kentucky

Sources for this page

Verify at the official NPI Registry.