Organization
LBJ ENTERPRISES, INC
Active
Other names
Apothecare Pharmacy and Compounding Center
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA P. SPENCER (RPH/OWNER)
(270) 781-7778
Entity
Organization
Contact information
Practice address
1214 ASHLEY CIR, BOWLING GREEN, KY 42104-3338
(270) 781-7778
Mailing address
1214 ASHLEY CIR, BOWLING GREEN, KY 42104-3338
(270) 781-7778
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PO6299
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90051152
—
KY
Enumeration date
09/01/2005
Last updated
04/22/2008
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