Organization
HOME CONVALESCENT AIDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD KENNETH DOVE RPH (PRESIDENT/PHARMACIST)
(859) 745-4445
Entity
Organization
Contact information
Practice address
1113 W LEXINGTON AVE, WINCHESTER, KY 40391-1169
(859) 745-4445
(859) 745-0483
Mailing address
1113 W LEXINGTON AVE, WINCHESTER, KY 40391-1169
(859) 745-4445
(859) 745-0483
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P01493
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90030255
—
KY
Enumeration date
11/09/2005
Last updated
04/10/2008
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