Organization
PENDLETON PHARMACIST GROUP INC
Active
Other names
Total Care Pharmacy #5
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER FRONK PHD (CORPORATE PARTNER)
(606) 845-3421
Entity
Organization
Contact information
Practice address
1100 WEST SHELBY STREET, FALMOUTH, KY 41040
(859) 654-3232
(859) 654-3277
Mailing address
1100 WEST SHELBY STREET, FALMOUTH, KY 41040
(859) 654-3232
(859) 654-3277
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
743031560
KY
332B00000X
Durable Medical Equipment & Medical Supplies
P07273
KY
333600000X
Pharmacy
Primary
P07273
KY
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54030739
—
KY
05
—
7100056430
—
KY
05
—
90030966
—
KY
Enumeration date
11/16/2006
Last updated
12/12/2012
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