Organization
VALUE RX BLUEGRASS LLC
Active
Other names
Crestville Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TODD WALTERS RPH (OWNER)
(606) 269-2965
Entity
Organization
Contact information
Practice address
2446 ANDERSON RD, CRESCENT SPRINGS, KY 41017
(859) 341-1660
(859) 344-4142
Mailing address
2446 ANDERSON RD, CRESCENT SPRINGS, KY 41017
(859) 341-1660
(859) 344-4142
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
P07830
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100175400
—
KY
05
—
7100175440
—
KY
Enumeration date
09/27/2006
Last updated
06/21/2017
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