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Organization

REGIS HEALTHCARE INC

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Other names
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Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM REED GINN (PHARMICIST)
(270) 885-5515
Entity
Organization

Contact information

Practice address
2208 FORT CAMPBELL BLVD, HOPKINSVILLE, KY 42240-4665
(270) 885-5515
(270) 885-5591
Mailing address
2208 FORT CAMPBELL BLVD, HOPKINSVILLE, KY 42240-4665
(270) 885-5515
(270) 885-5591

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336C0003X
Community/Retail Pharmacy
Primary
P07501
KY
3336C0004X
Compounding Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1832888
NCPDP PROVIDER IDENTIFICATION NUMBER
05
7100197140
KY
Enumeration date
03/14/2012
Last updated
04/12/2017
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