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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