Organization
THRIFTY PHARMACY
Active
Other names
Thrifty Home Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS P GLOVER R.PH. (PRESIDENT)
(270) 667-0940
Entity
Organization
Contact information
Practice address
116 WALLACE ST, PROVIDENCE, KY 42450-1278
(270) 667-0940
Mailing address
116 WALLACE ST, PROVIDENCE, KY 42450-1278
(270) 667-0940
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
MG0460
KY
332BX2000X
Oxygen Equipment & Supplies (DME)
MG0460
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90011180
—
KY
Enumeration date
09/12/2006
Last updated
12/01/2009
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