# LONE OAK COMPOUNDING SHOPPE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588737241
- **Authorized official:** MICHELLE R LOWE RPH (OWNER)
- **Authorized official phone:** (270) 554-7944

## Contact information

- **Practice address:** 3535 LONE OAK RD, PADUCAH, KY 42003-5701
- **Practice address phone:** (270) 554-7944
- **Practice address fax:** (270) 554-4006
- **Mailing address:** 3535 LONE OAK RD, PADUCAH, KY 42003-5701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0004X | Compounding Pharmacy | P06669 | KY | Yes |

## Other

- **Enumeration date:** 11/17/2006
- **Last updated:** 08/22/2020