Organization
G & O OF PADUCAH, INC
Active
Other names
G & O Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE K HAGAN RPH (PRESIDENT)
(270) 442-3571
Entity
Organization
Contact information
Practice address
2338 BROADWAY ST, PADUCAH, KY 42001-7114
(270) 442-3571
(270) 442-3197
Mailing address
2338 BROADWAY ST, PADUCAH, KY 42001-7114
(270) 442-3571
(270) 442-3197
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
P06961
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54005962
—
KY
01
—
90000233
DURABLE MEDICAL SUPLIES
KY
Enumeration date
02/28/2007
Last updated
05/24/2011
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