Organization
JENNIE STUART MEDICAL CENTER
Active
Other names
JENNIE STUART MEDICAL CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PHIL FORT (PHARMACY DIRECTOR)
(270) 887-0191
Entity
Organization
Contact information
Practice address
320 W 18TH ST, HOPKINSVILLE, KY 42240-1965
(270) 887-0191
(270) 887-0201
Mailing address
1724 KENTON ST, STE 1E, HOPKINSVILLE, KY 42240-1981
(270) 887-0191
(270) 887-0201
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P05034
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2029276
PK
—
05
—
54013263
—
KY
Enumeration date
06/14/2006
Last updated
09/15/2016
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