Organization
C D S 10 PHARMACY LLC
Active
Other names
LONG TERM CARE CDS 10 PHARMACY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARREN G LACEFIELD PHARMD (OWNER)
(270) 781-5661
Entity
Organization
Contact information
Practice address
1308 ASHLEY CIRCLE, BOWLING GREEN, KY 42104
(270) 781-5661
Mailing address
1308 ASHLEY CIRCLE, BOWLING GREEN, KY 42104
(270) 781-5661
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
03/13/2020
Last updated
10/12/2020
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