Organization
COLLEGE SQUARE PHARMACY
Active
Organization
COLLEGE SQUARE PHARMACY
Active
Other names
Knight's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JIM G KNIGHT RPH (PHARMACIST IN CHARGE)
(859) 986-0500
Entity
Organization
Contact information
Practice address
191 GLADES RD, BEREA, KY 40403-1369
(859) 986-0500
(859) 986-0505
Mailing address
191 GLADES RD, BEREA, KY 40403-1369
(859) 985-0516
(859) 986-0505
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PO6904
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5400608500
—
KY
Enumeration date
11/29/2006
Last updated
02/29/2008
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