Organization
MARCUM & WALLACE MEMORIAL HOSPITAL
Active
Other names
Marcum & Wallace Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT SPILLE (SYSTEM DIRECTOR, RETAIL PHARMACY)
(513) 952-5063
Entity
Organization
Contact information
Practice address
60 MERCY CT, IRVINE, KY 40336-1331
(606) 726-2146
(606) 723-2951
Mailing address
60 MERCY CT, PO BOX 928, IRVINE, KY 40336-1331
(606) 726-2146
(606) 723-2951
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
05150
KY
3336C0002X
Clinic Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2163935
PK
—
Enumeration date
10/28/2016
Last updated
10/28/2016
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