Organization
HOSPICE OF THE BLUEGRASS INC
Active
Other names
Hospice of the Bluegrass Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
WENDELL SHORT (PHARMACIST)
(606) 436-0686
Entity
Organization
Contact information
Practice address
57 DENNIS SANDLIN MD CV, HAZARD, KY 41701-1552
(606) 436-0686
(606) 436-0547
Mailing address
57 DENNIS SANDLIN MD CV, HAZARD, KY 41701-1552
(606) 436-0686
(606) 436-0547
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P06120
KY
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2155994
PK
—
Enumeration date
12/18/2015
Last updated
12/18/2015
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