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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