Organization
SAM'S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHY JONES (PHARMACIST)
(270) 842-7710
Entity
Organization
Contact information
Practice address
3200 KEN BALE BLVD, BOWLING GREEN, KY 42103-6025
(270) 781-7727
(270) 781-7826
Mailing address
3111 SMALLHOUSE RD, BOWLING GREEN, KY 42104-4603
(270) 781-7727
(270) 781-7826
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
009538
KY
Other
Enumeration date
07/29/2016
Last updated
07/29/2016
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