Organization
OWENSBORO HEALTH INC
Active
Other names
Owensboro Health Outpatient Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RUSS RANALLO (VICE PRESIDENT OF FINANCIAL SERVICE)
(270) 685-7180
Entity
Organization
Contact information
Practice address
1301 PLEASANT VALLEY RD, SUITE 104, OWENSBORO, KY 42303-9774
(270) 417-6701
(270) 417-6705
Mailing address
1301 PLEASANT VALLEY RD, SUITE 104, OWENSBORO, KY 42303-9774
(270) 417-6701
(270) 417-6705
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P07614
KY
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100274660
—
KY
Enumeration date
02/05/2014
Last updated
06/22/2020
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