Organization
LANNY G. BRANSTETTER
Active
Other names
Branstetter Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LANNEY BRANSTETTER RPH (OWNER)
(270) 786-2466
Entity
Organization
Contact information
Practice address
141 E MAIN ST, HORSE CAVE, KY 42749-1168
(270) 786-2466
Mailing address
141 E MAIN ST, HORSE CAVE, KY 42749-1168
(270) 786-2466
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000070035
DME
KY
05
—
90040502
—
KY
Enumeration date
07/08/2005
Last updated
02/14/2013
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