Organization
PARK STREET PARTNERS,LLP
Active
Other names
URGENTCARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA JOYCE PHARMD (DIRECTOR OF PHARMACY)
(270) 745-1640
Entity
Organization
Contact information
Practice address
1225 FAIRWAY ST, STE 100, BOWLING GREEN, KY 42103-2477
(270) 796-3500
(270) 796-3562
Mailing address
1225 FAIRWAY ST, STE 100, BOWLING GREEN, KY 42103-2477
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P07128
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1829639
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/08/2006
Last updated
08/22/2020
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