Organization
VALUE RX BLUEGRASS LLC
Active
Other names
Cayce's Eagle Way Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD WALTERS RPH (OWNER)
(270) 885-1220
Entity
Organization
Contact information
Practice address
211 BURLEY AVE, HOPKINSVILLE, KY 42240
(270) 885-1220
(270) 885-5474
Mailing address
PO BOX 4022, HOPKINSVILLE, KY 42241-4022
(270) 885-1220
(270) 885-5474
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
P07816
KY
Other
Enumeration date
06/23/2011
Last updated
05/10/2017
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