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Organization
MARSHALL COUNTY HOSP DISTRICT
Active
Organization
MARSHALL COUNTY HOSP DISTRICT
Active
Other names
MARSHALL COUNTY HOSPITAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS BLACKWELL RPH (CHIEF CLINICAL OFFICER)
(270) 527-4800
Entity
Organization
Contact information
Practice address
615 OLD SYMSONIA RD, BENTON, KY 42025-5042
(270) 527-4885
(270) 527-4893
Mailing address
PO BOX 630, BENTON, KY 42025-0630
(270) 527-4800
(270) 527-4893
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336I0012X
Institutional Pharmacy
Primary
P05109
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2030096
PK
—
05
—
54025473
—
KY
Enumeration date
08/20/2006
Last updated
02/23/2017
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