Organization
ELY DRUGS OF BG INC
Active
Other names
Ely Drug of Bowling Green
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSEY PEDEN (PHARMACIST)
(270) 467-5225
Entity
Organization
Contact information
Practice address
4863 SCOTTSVILLE RD, BOWLING GREEN, KY 42104-7909
(270) 467-5225
(270) 467-0542
Mailing address
4863 SCOTTSVILLE RD, BOWLING GREEN, KY 42104-7909
(270) 467-5225
(270) 467-0542
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07516
KY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2136327
PK
—
Enumeration date
08/06/2012
Last updated
08/10/2015
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