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Organization
OH MUHLENBERG, LLC
Active
Organization
OH MUHLENBERG, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL RENEE ORANGE CPA (ASSISTANT SYSTEM CONTROLLER)
(270) 338-8276
Entity
Organization
Contact information
Practice address
440 HOPKINSVILLE ST, GREENVILLE, KY 42345-1124
(270) 338-8406
(270) 338-8407
Mailing address
440 HOPKINSVILLE ST, GREENVILLE, KY 42345-1124
(270) 338-8406
(270) 338-8407
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336I0012X
Institutional Pharmacy
Primary
P07696
KY
3336L0003X
Long Term Care Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2029268
PK
—
05
—
7100415930
—
KY
05
—
7100439910
—
KY
Enumeration date
07/19/2006
Last updated
12/29/2017
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