Organization
HINES PHARMACY INC.
Active
Other names
HINES PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GREG HINES BS (PRESIDENT PHARMACIST)
(270) 842-4341
Entity
Organization
Contact information
Practice address
1340 KY HIGHWAY 185, BOWLING GREEN, KY 42101-9691
(270) 842-4341
(270) 842-7893
Mailing address
1340 KY HIGHWAY 185, BOWLING GREEN, KY 42101-9691
(270) 842-4341
(270) 842-7893
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P06102
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2031910
PK
—
05
—
54030176
—
KY
Enumeration date
10/02/2006
Last updated
04/19/2016
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