Organization
BAPTIST HEALTH DEACONESS MADISONVILLE INC
Active
Other names
BAPTIST HEALTH DEACONESS MADISONVILLE OUTPATIENT PHARMACY, Baptist Health Pharmacy, Baptist Health Madisonville Outpatient Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD CARRICO (CHIEF FINANCIAL OFFICER)
(502) 896-5006
Entity
Organization
Contact information
Practice address
900 HOSPITAL DR, MADISONVILLE, KY 42431
(270) 825-5100
Mailing address
900 HOSPITAL DR, MADISONVILLE, KY 42431-1644
(270) 825-5100
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P06472
KY
Other
Enumeration date
09/30/2010
Last updated
08/31/2023
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