Organization
CENTRAL KENTUCKY PHARMACY INC
Active
Organization
CENTRAL KENTUCKY PHARMACY INC
Active
Other names
Crume Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
ROBBIN SIZEMORE (PRESIDENT)
(502) 507-5489
Entity
Organization
Contact information
Practice address
111 W FLAGET ST, BARDSTOWN, KY 40004-1422
(502) 348-3938
(502) 348-3434
Mailing address
111 W FLAGET ST, BARDSTOWN, KY 40004-1422
(502) 348-3938
(502) 348-3434
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P07567
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2139862
PK
—
Enumeration date
04/04/2013
Last updated
05/08/2013
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