Organization
BOURBONTOWN PHARMACY LLC
Active
Other names
Bourbontown Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN BELL (PRESIDENT)
(502) 370-4336
Entity
Organization
Contact information
Practice address
1822 MAIN ST, PARIS, KY 40361-1109
(859) 900-0991
Mailing address
1002 S BROADWAY ST STE 7, GEORGETOWN, KY 40324-1463
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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