Organization
MADISONVILLE PHARMACY INC
Active
Other names
Madisonville Pharmacy, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH GENTRY (PHARMACIST/SECRETARY)
(270) 754-4300
Entity
Organization
Contact information
Practice address
127 E NORTH ST, MADISONVILLE, KY 42431-1628
(270) 824-2264
(270) 824-2265
Mailing address
127 E NORTH ST, MADISONVILLE, KY 42431-1628
(270) 824-2264
(270) 824-2265
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
P06569
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558815910
NPI
KY
01
—
1835543
NCPDP
KY
01
—
2160972
PK
—
Enumeration date
08/15/2016
Last updated
08/04/2025
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