Organization
MEDICINE ENTERPRISES LLC
Active
Other names
Bourbontown Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KASIA BARTLEY (OWNER)
(606) 356-5237
Entity
Organization
Contact information
Practice address
1822 MAIN ST, PARIS, KY 40361-1109
(859) 900-0330
Mailing address
PO BOX 361, CLEARFIELD, KY 40313-0361
(606) 253-1266
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100972320
—
KY
Enumeration date
03/07/2024
Last updated
07/15/2024
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