Organization
CLINIC PHARMACY LLC
Active
Other names
Clinic Pharmacy, CLINIC PHARMACY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW W. HARNEY PHARMD (PHARMACY DIRECTOR)
(859) 234-2777
Entity
Organization
Contact information
Practice address
1210 KY HIGHWAY 36 E, STE G-6, CYNTHIANA, KY 41031-7490
(859) 234-2777
(859) 234-2775
Mailing address
1210 KY HIGHWAY 36 E, STE G-6, CYNTHIANA, KY 41031-7490
(859) 234-2777
(859) 234-2775
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P06700
KY
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2033239
PK
—
05
—
54002753
—
KY
Enumeration date
02/27/2007
Last updated
11/17/2023
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