Organization
SPENCER DRUG LLC
Active
Other names
Estill Clinic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SPENCER RPH (OWNER AND PIC)
(606) 723-5446
Entity
Organization
Contact information
Practice address
275 COURT ST, IRVINE, KY 40336-1077
(606) 723-0044
(606) 723-0054
Mailing address
275 COURT ST, IRVINE, KY 40336-1077
(606) 723-0044
(606) 723-0054
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P07407
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2126015
PK
—
05
—
71001235310
—
KY
Enumeration date
06/30/2006
Last updated
06/24/2024
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