Organization
RXSHOP, LLC
Active
Other names
SMITHS GROVE RX SHOP
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL YOUNG RPH (PHARMACY OPERATIONS MANAGER)
(270) 597-2181
Entity
Organization
Contact information
Practice address
111 N MAIN STREET, SMITHS GROVE, KY 42171
(270) 563-2180
(855) 457-9282
Mailing address
PO BOX 540, BROWNSVILLE, KY 42210-0540
(270) 597-2181
(866) 233-8342
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P07249
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2035132
PK
—
Enumeration date
04/17/2008
Last updated
09/08/2016
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