Organization
POOLES PHARMACY CARE INC
Active
Other names
Poole's Pharmacy Care
Organization subpart
No
Provider details
NPI number
Authorized official
LISA POOLE (SEC/TREAS)
(270) 525-8517
Entity
Organization
Contact information
Practice address
8180 US HIGHWAY 60 W, LEWISPORT, KY 42351-7081
(270) 295-3131
(270) 295-3132
Mailing address
8180 US HIGHWAY 60 W, LEWISPORT, KY 42351-7081
(270) 295-3131
(270) 295-3132
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100625410
—
KY
Enumeration date
08/20/2019
Last updated
02/26/2021
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