Organization
SPENCER DRUG LLC
Active
Other names
Woodford Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SPENCER (OWNER)
(606) 434-3545
Entity
Organization
Contact information
Practice address
453 LEXINGTON RD, VERSAILLES, KY 40383-1646
(859) 879-3784
(859) 879-3882
Mailing address
PO BOX 943, VERSAILLES, KY 40383-0943
(859) 879-3784
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07752
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157928
PK
—
05
—
7100396250
—
KY
Enumeration date
02/05/2016
Last updated
06/24/2024
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