Organization
OWENSBORO HEALTH INC
Active
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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