Organization
MADISONVILLE PHARMACY INC
Active
Other names
Madisonville Pharmacy, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY HOOD RPH (VP)
(270) 824-2264
Entity
Organization
Contact information
Practice address
127 E NORTH ST, MADISONVILLE, KY 42431-1628
(270) 824-2264
(270) 824-2265
Mailing address
200 CLINIC DR, STE 101, MADISONVILLE, KY 42431-1661
(270) 824-2264
(270) 824-2265
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P06569
KY
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164519351
NPI
KY
01
—
1806960
NCPDP
KY
01
—
2028971
PK
—
05
—
54000542
—
KY
Enumeration date
10/07/2006
Last updated
08/04/2025
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