Organization
LBJ ENTERPRISES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA SPENCER RPH (PHARMACIST/OWNER)
(270) 239-6700
Entity
Organization
Contact information
Practice address
210 JACKS SHOPPING CTR, SCOTTSVILLE, KY 42164-1619
(270) 239-6700
(270) 239-6701
Mailing address
210 JACKS SHOPPING CTR, SCOTTSVILLE, KY 42164-1619
(270) 239-6700
(270) 239-6701
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
P07398
KY
3336C0004X
Compounding Pharmacy
Primary
P07398
KY
Other
Enumeration date
07/26/2010
Last updated
07/26/2010
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