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Organization

JENNIE STUART SATELLITE PHARMACY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TERRY PEEPLES (CEO)
(270) 887-0100
Entity
Organization

Contact information

Practice address
1724 KENTON ST, HOPKINSVILLE, KY 42240-1981
(270) 887-0348
(270) 887-0201
Mailing address
1724 KENTON ST, HOPKINSVILLE, KY 42240-1981
(270) 887-0348
(270) 887-0201

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
P02415
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P02415
STATE PHARMACY LICENSE
KY
Enumeration date
01/22/2007
Last updated
08/22/2020
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