Organization
GEORGETOWN APOTHECARY PLLC
Active
Other names
Georgetown Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN BELL RPH (OWNER)
(502) 370-4336
Entity
Organization
Contact information
Practice address
1002 S BROADWAY ST STE 7, GEORGETOWN, KY 40324-1463
(502) 370-4336
(502) 370-4352
Mailing address
1002 S BROADWAY ST STE 7, GEORGETOWN, KY 40324-1463
(502) 370-4336
(502) 370-4352
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07573
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2140326
PK
—
05
—
7100245800
—
KY
Enumeration date
05/09/2013
Last updated
02/14/2017
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