Organization
MARROWBONE CLINIC PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES HUFFMAN RPH (MANAGER)
(606) 754-7085
Entity
Organization
Contact information
Practice address
10363 REGINA BELCHER HWY, REGINA, KY 41559
(606) 754-7085
(606) 754-9218
Mailing address
PO BOX 225, REGINA, KY 41559-0225
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
KY
3336C0002X
Clinic Pharmacy
Primary
PO1360
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1813042
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
54016530
—
KY
Enumeration date
10/13/2006
Last updated
05/19/2008
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