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Organization

ELY DRUGS OF BG INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TRAVIS HUDNALL (OWNER)
(270) 651-8359
Entity
Organization

Contact information

Practice address
4863 SCOTTSVILLE RD, BOWLING GREEN, KY 42104-7949
(270) 467-5225
Mailing address
4863 SCOTTSVILLE RD, BOWLING GREEN, KY 42104-7949

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2136327
KY
Enumeration date
09/12/2022
Last updated
03/03/2026
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