Organization
SPENCER DRUG LLC
Active
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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