Organization
BLUEGRASS DRUG CENTER INC
Active
Organization
BLUEGRASS DRUG CENTER INC
Active
Other names
Bluegrass Drug Center Carrollton
Organization subpart
No
Provider details
NPI number
Authorized official
ERIK GROVE PHARM.D. (PRESIDENT/OWNER/AO)
(812) 265-4621
Entity
Organization
Contact information
Practice address
1955 HWY 227, CARROLLTON, KY 41008-8037
(502) 732-4331
(502) 732-9182
Mailing address
835 W MAIN ST, MADISON, IN 47250-3131
(812) 265-4621
(812) 273-6666
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07825
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2167106
PK
—
Enumeration date
01/05/2017
Last updated
04/13/2020
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