Organization
COLLEGE SQUARE PHARMACY
Active
Other names
KNIGHT'S PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES M KNIGHT (BUSINESS MANAGER)
(859) 985-0516
Entity
Organization
Contact information
Practice address
191 GLADES RD, BEREA, KY 40403-1369
(859) 986-0500
(859) 986-0505
Mailing address
PO BOX 1018, 191 GLADES RD, BEREA, KY 40403-3018
(859) 986-0500
(859) 986-0505
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000838400
—
KY
Enumeration date
01/08/2008
Last updated
03/22/2011
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