Organization
VALUE RX BLUEGRASS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD WALTERS RPH (MEMEBER)
(606) 269-2965
Entity
Organization
Contact information
Practice address
21 MINK LN, PINEVILLE, KY 40977-8765
(270) 886-4466
Mailing address
P.O BOX 4022, HOPKINSVILLE, KY 42241
(270) 886-4466
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
KY
333600000X
Pharmacy
Primary
P07815
KY
Other
Enumeration date
12/29/2016
Last updated
05/09/2017
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