Organization
T J SAMSON COMMUNITY HOSPITAL
Active
Other names
T.J. SAMSON COMMUNITY HOSPITAL OUTPATIENT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY MARR PHARMD (DIRECTOR OF PHARMACY)
(270) 651-4334
Entity
Organization
Contact information
Practice address
1301 N RACE ST, GLASGOW, KY 42141-3454
(270) 651-1865
(270) 651-1867
Mailing address
PO BOX 645996, CINCINNATI, OH 45264-5996
(270) 651-1865
(270) 651-1867
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07352
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100451310
—
KY
Enumeration date
09/07/2016
Last updated
03/30/2023
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