Organization
LONE OAK COMPOUNDING SHOPPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE R LOWE RPH (OWNER)
(270) 554-7944
Entity
Organization
Contact information
Practice address
3535 LONE OAK RD, PADUCAH, KY 42003-5701
(270) 554-7944
(270) 554-4006
Mailing address
3535 LONE OAK RD, PADUCAH, KY 42003-5701
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
P06669
KY
Other
Enumeration date
11/17/2006
Last updated
08/22/2020
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