Organization
0424 INC
Active
Other names
Lincoln Parkway Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID EARL BOWMAN (OWNER)
(270) 358-2117
Entity
Organization
Contact information
Practice address
117 LINCOLN DR, HODGENVILLE, KY 42748-9780
(270) 358-2117
(270) 358-2100
Mailing address
117 LINCOLN DR, HODGENVILLE, KY 42748-9780
(270) 358-2117
(270) 358-2100
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07385
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2125335
PK
—
05
—
7100139440
—
KY
Enumeration date
06/09/2010
Last updated
09/17/2025
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