Organization
WILSON FAMILY PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JIGNA PATEL PHARMD. (AGENT)
(270) 688-0100
Entity
Organization
Contact information
Practice address
2845 W PARRISH AVE STE E, OWENSBORO, KY 42301-3337
(270) 688-0100
(270) 688-0700
Mailing address
2845 W PARRISH AVE STE E, OWENSBORO, KY 42301-3337
(270) 688-0100
(270) 688-0700
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
MG0903
KY
332BX2000X
Oxygen Equipment & Supplies (DME)
MG0903
KY
333600000X
Pharmacy
P07713
KY
3336C0003X
Community/Retail Pharmacy
Primary
P07713
KY
Other
Enumeration date
08/24/2015
Last updated
04/25/2019
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