Organization
SPENCER DRUG LLC
Active
Organization
SPENCER DRUG LLC
Active
Other names
Madison Drug
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SPENCER (OWNER)
(606) 723-5446
Entity
Organization
Contact information
Practice address
110 BIG HILL AVE, RICHMOND, KY 40475-2008
(859) 624-1565
(859) 624-2165
Mailing address
110 BIG HILL AVE, RICHMOND, KY 40475-2008
(859) 624-1565
(859) 624-2165
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P07523
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2136852
PK
—
05
—
7100230350
—
KY
Enumeration date
09/07/2012
Last updated
06/24/2024
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