Organization
RICK' S PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RITA D. TIMMONS (VICE PRESIDENT)
(270) 444-2022
Entity
Organization
Contact information
Practice address
2700 HC MATHIS DR, PADUCAH, KY 42001-3704
(270) 444-2022
(270) 444-9758
Mailing address
2700 HC MATHIS DR, PADUCAH, KY 42001-3704
(270) 444-2022
(270) 444-9758
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PO6857
KY
333600000X
Pharmacy
Primary
PO6857
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1827899
NABP# CP
KY
05
—
54004809
—
KY
05
—
90006826
—
KY
Enumeration date
08/09/2005
Last updated
03/31/2008
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