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Organization

CROFTON PHARMACY LLC

Active
Other names
CROFTON PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
JEB STEWART RPH (OWNER/PHARMACIST)
(270) 424-8965
Entity
Organization

Contact information

Practice address
235 S MADISONVILLE ST, CROFTON, KY 42217-8009
(270) 424-8965
(270) 424-8963
Mailing address
235 S MADISONVILLE ST, CROFTON, KY 42217-8009
(270) 424-8965
(270) 424-8963

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P07729
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2157257
PK
05
7100380160
KY
Enumeration date
11/30/2006
Last updated
05/03/2022
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