Organization
OPTIMUM CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT VANCE RPH, PHARM-D (CHIEF EXECUTIVE OFFICER)
(270) 625-9611
Entity
Organization
Contact information
Practice address
2367 STATE ROUTE 93 N, KUTTAWA, KY 42055-5880
(270) 625-9611
(270) 388-0279
Mailing address
PO BOX 22, KUTTAWA, KY 42055-0022
(270) 625-9611
(270) 388-0279
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
012996
KY
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
012996
KY
Other
Enumeration date
02/14/2011
Last updated
02/14/2011
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