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Organization

ROBERT YOWLER

Active
Other names
MORGAN DRUG STORE
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT PARKER YOWLER II R.PH. (OWNER)
(502) 255-3540
Entity
Organization

Contact information

Practice address
325 HWY. 42 EAST, BEDFORD, KY 40006
(502) 255-3540
(502) 255-3615
Mailing address
PO BOX 243, BEDFORD, KY 40006-0243
(502) 255-3540
(502) 255-3615

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
18D0950636
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0266
FLU
01
063700001
MEDICARE DME SUPPLIER #
01
1816048
NABP
01
18D0950636
CLIA LAB #
05
54019153
KY
01
9001112300
MEDICAID DME SUPPLIER #
KY
01
PO1566
KY PHARMACY
KY
Enumeration date
10/25/2006
Last updated
03/07/2023
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