Organization
BLUEGRASS PHARMACIES INC
Active
Other names
BLUEGRASS LTC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GARY RUSSELL RPH (PRESIDENT PHARMACIST)
(270) 825-2775
Entity
Organization
Contact information
Practice address
1128 N MAIN ST STE 3, MADISONVILLE, KY 42431-1265
(270) 821-7335
(270) 821-7382
Mailing address
1128 N MAIN ST, SUITE 3, MADISONVILLE, KY 42431-1265
(270) 821-7335
(270) 821-7382
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
P07150
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2034631
PK
—
Enumeration date
12/01/2006
Last updated
11/18/2015
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