Organization
BRAY PHARMACY INC
Active
Other names
Capital Pharmacy and Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AARON E. MCINTOSH PHARM.D (OWNER)
(502) 223-2827
Entity
Organization
Contact information
Practice address
662 E MAIN ST, FRANKFORT, KY 40601-2338
(502) 223-2827
(502) 227-2026
Mailing address
662 E MAIN ST, FRANKFORT, KY 40601-2338
(502) 223-2827
(502) 227-2026
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1186150001
KY
332B00000X
Durable Medical Equipment & Medical Supplies
9000882200
KY
332BC3200X
Customized Equipment (DME)
1186150001
KY
332BC3200X
Customized Equipment (DME)
9000882200
KY
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
1186150001
KY
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
9000882200
KY
332BX2000X
Oxygen Equipment & Supplies (DME)
1186150001
KY
332BX2000X
Oxygen Equipment & Supplies (DME)
9000882200
KY
335E00000X
Prosthetic/Orthotic Supplier
1186150001
KY
335E00000X
Prosthetic/Orthotic Supplier
9000882200
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18D0968102
CLIA CERTIFICATION
KY
05
—
9000882200
—
KY
01
—
MG0158
KY MED GAS LICENSE
KY
01
—
P01908
STORE KY LICENSE
KY
Enumeration date
05/15/2007
Last updated
06/06/2016
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