Organization
BEECHMONT PHARMACY, INC
Active
Other names
Greenville Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH ANN GENTRY RPH (SECRETARY)
(270) 338-3800
Entity
Organization
Contact information
Practice address
117 N MAIN ST, GREENVILLE, KY 42345-2902
(270) 338-3800
(270) 338-9903
Mailing address
117 N MAIN ST, GREENVILLE, KY 42345-2902
(270) 338-3800
(270) 338-9903
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
084356
SALES TAX
KY
01
—
1820922
NABP
KY
05
—
9008089600
—
KY
Enumeration date
03/08/2007
Last updated
12/11/2008
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