Organization
MEDICA PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEON CLAYWELL (OWNER)
(502) 348-6623
Entity
Organization
Contact information
Practice address
202 W STEPHEN FOSTER AVE, BARDSTOWN, KY 40004-1478
(502) 348-6623
Mailing address
202 W STEPHEN FOSTER AVE, BARDSTOWN, KY 40004-1478
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017308
KY
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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