Organization
APOTHECARE PHARMACY OF ELIZABETHTOWN P S C
Active
Other names
APOTHECARE PHARMACY OF ELIZABETHTOWN
Organization subpart
No
Provider details
NPI number
Authorized official
GARY HAMM (PRESIDENT)
(270) 739-0303
Entity
Organization
Contact information
Practice address
1239 WOODLAND DR STE 102, SUITE 102, ELIZABETHTOWN, KY 42701-2770
(270) 739-0303
(270) 234-0101
Mailing address
1239 WOODLAND DR, SUITE 102, ELIZABETHTOWN, KY 42701-2770
(270) 739-0303
(270) 234-0101
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
P06320
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159809
PK
—
05
—
54033097
—
KY
05
—
90270471
—
KY
Enumeration date
05/02/2016
Last updated
09/16/2016
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