Organization
SOPOREX RESPIRATORY INC
Active
Other names
INDEPENDENCE HOME PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM HEWLETT RPH (DIRECTOR)
(270) 753-5250
Entity
Organization
Contact information
Practice address
1306 S 12TH ST, MURRAY, KY 42071-9302
(270) 753-5205
(270) 753-5573
Mailing address
1306 S 12TH ST, MURRAY, KY 42071-9302
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
PO7112
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1829564
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
05/23/2006
Last updated
08/22/2020
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