Organization
WINCHESTER PHARMACY LLC
Active
Other names
Clark County Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH BELL (PRESIDENT)
(859) 744-3350
Entity
Organization
Contact information
Practice address
716 BOONE AVENUE, WINCHESTER, KY 40391
(859) 744-3350
(859) 744-3325
Mailing address
716 BOONE AVENUE, WINCHESTER, KY 40391
(859) 744-3350
(859) 744-3325
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1828550
NCPDP NUMBER
—
05
—
54007869
KENTUCKY MEDICAID #
KY
Enumeration date
10/27/2005
Last updated
02/22/2022
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