Organization
WESTERN STATE HOSPITAL PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER WESTFALL (DIRECTOR OF ADMINISTRATIVE SERVICES)
(270) 889-6025
Entity
Organization
Contact information
Practice address
2400 RUSSELLVILLE RD, HOPKINSVILLE, KY 42240-8095
(270) 889-6025
(270) 889-5062
Mailing address
2400 RUSSELLVILLE RD, HOPKINSVILLE, KY 42240-8095
(270) 889-6025
(270) 889-5062
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
P05010
KY
3336I0012X
Institutional Pharmacy
P06561
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5402559800
—
KY
Enumeration date
01/29/2008
Last updated
01/29/2008
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