Organization
BEECHMONT PHARMACY INC
Active
Other names
Greenville Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH GENTRY (SECRETARY/PIC)
(270) 754-4300
Entity
Organization
Contact information
Practice address
117 N MAIN ST, GREENVILLE, KY 42345-2902
(270) 338-3800
(270) 338-3807
Mailing address
117 N MAIN ST, GREENVILLE, KY 42345-2902
(270) 338-3800
(270) 338-3807
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
P06957
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2163601
PK
—
Enumeration date
08/15/2016
Last updated
09/16/2016
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