Organization
BARDWELL PHARMACY
Active
Organization
BARDWELL PHARMACY
Active
Other names
BARDWELL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BOAZ RPH (OWNER PHARMACIST)
(270) 628-5445
Entity
Organization
Contact information
Practice address
178 US HWY 51 N, BARDWELL, KY 42023
(270) 628-5445
(270) 628-3179
Mailing address
PO BOX 335, BARDWELL, KY 42023-0335
(270) 628-5445
(270) 628-3179
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P06353
KY
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2030630
PK
—
05
—
54020524
—
KY
05
—
90011974
—
KY
Enumeration date
07/25/2006
Last updated
12/28/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up