Organization
MEDICINE SHOPPE LONG TERM CARE
Active
Other names
MEDICINE SHOPPE LONG TERM CARE
Organization subpart
No
Provider details
NPI number
Authorized official
SAIBABU APPALANENI (OWNER)
(606) 679-9227
Entity
Organization
Contact information
Practice address
900 E MOUNT VERNON ST UNIT B, SOMERSET, KY 42501-1228
(606) 679-9227
(606) 679-1358
Mailing address
900 E MOUNT VERNON ST, UNIT B, SOMERSET, KY 42501-1228
(606) 679-9227
(606) 679-1358
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
P07448
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2130183
PK
—
Enumeration date
04/15/2011
Last updated
03/26/2025
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