Organization
APOTHECARE PHARMACY OF ELIZABETHTOWN P S C
Active
Other names
APOTHECARE PHARMACY II AT CARDINAL
Organization subpart
No
Provider details
NPI number
Authorized official
GARY HAMM (PRESIDENT)
(270) 739-0303
Entity
Organization
Contact information
Practice address
1028 N DIXIE AVE STE 100, ELIZABETHTOWN, KY 42701-2508
(270) 982-0303
(270) 982-2183
Mailing address
1028 N DIXIE AVE STE 100, ELIZABETHTOWN, KY 42701-2508
(270) 982-0303
(270) 982-2183
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
P07165
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159810
PK
—
05
—
7100005100
—
KY
Enumeration date
04/29/2016
Last updated
09/28/2019
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