COMMONWEALTH OF KENTUCKY
Organization (NPI-2)
Active
Pharmacist
Provider Information
- NPI Number
1124144456- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 2400 RUSSELLVILLE ROAD, HOPKINSVILLE, KY, 42240
- Phone
- (270) 889-6025
- Fax
- (270) 889-5062
Specialties & Taxonomies
Pharmacy, Long Term Care Pharmacy
License: KY #P05010
Pharmacy, Long Term Care Pharmacy
License: KY #P06561
Pharmacist, Psychiatric
License: KY
Pharmacist, Geriatric
License: KY
Pharmacist
Primary License: KY