Park Duvalle Community Health Center, Inc
Clinic Pharmacy
3015 Wilson Ave, Louisville
Kentucky, 40211-1969
502-774-4401 502-772-4783
Park Duvalle Community Health Center, Inc is a Clinic Pharmacy in Louisville, Kentucky. It is located at 3015 Wilson Ave, Louisville and it's customer support contact number is 502-774-4401. The authorized person of Park Duvalle Community Health Center, Inc is Swannie Jett who is Ceo of the pharmacy and his contact number is 502-774-4401. Park Duvalle Community Health Center, Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Park Duvalle Community Health Center, Inc is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Pharmacy Details:
Park Duvalle Community Health Center, Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Park Duvalle Community Health Center, Inc |
| Type: | Clinic Pharmacy |
| Location: | 3015 Wilson Ave, Louisville,
Kentucky, 40211-1969 |
| Phone: | 502-774-4401 |
| Fax: | 502-772-4783 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Swannie Jett |
| Position: | Ceo |
| Contact Number: | 502-774-4401 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1518184613 |
| NPI Enumeration Date: | 19 Apr, 2007 |
| NPI Last Update On: | 02 Nov, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Park Duvalle Community Health Center, Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Clinic Pharmacy | | | Primary | |
Medicare Enrollment:
Park Duvalle Community Health Center, Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 1658268974 | O20141204001974 | Park Duvalle Community Health Center, Inc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3015 Wilson Ave,
Louisville, Kentucky |
| Zip: | 40211-1969 |
| Phone Number: | 502-774-4401 |
| Fax Number: | 502-772-4783 |
Patients can reach Park Duvalle Community Health Center, Inc at
3015 Wilson Ave, Louisville, Kentucky or can
call on customer care at 502-774-4401.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.