Organization
PAT'S PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH KELLY JOHNSON (PRESIDENT)
(270) 692-4950
Entity
Organization
Contact information
Practice address
498 W MAIN ST, LEBANON, KY 40033-1362
(270) 692-4950
(270) 692-2320
Mailing address
498 W MAIN ST, LEBANON, KY 40033-1362
(270) 692-4950
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
P06177
KY
Other
Enumeration date
07/28/2015
Last updated
03/10/2022
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