Organization
BLUEGRASS DRUG CENTER INC
Active
Other names
Bluegrass Drug Center Campbellsburg
Organization subpart
No
Provider details
NPI number
Authorized official
ERIK GROVE RPH (PRESIDENT, OWNER)
(812) 265-4621
Entity
Organization
Contact information
Practice address
8170 MAIN ST, CAMPBELLSBURG, KY 40011-1467
(502) 465-4003
(502) 465-4008
Mailing address
835 W MAIN ST, MADISON, IN 47250-3131
(812) 265-4621
(812) 273-6666
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07585
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023450186
—
KY
01
—
2141381
PK
—
Enumeration date
07/17/2013
Last updated
11/08/2013
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