Organization
JENNIE STUART MEDICAL CENTER INC
Active
Organization
JENNIE STUART MEDICAL CENTER INC
Active
Other names
JENNIE STUART SATELLITE PHARMACY, JENNIE STUART MEDICAL CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BETH ANN MCCRAW (CNO)
(270) 887-0100
Entity
Organization
Contact information
Practice address
1724 KENTON ST STE 1E, HOPKINSVILLE, KY 42240-1981
(270) 887-0348
(270) 885-3791
Mailing address
1724 KENTON ST STE 1E, HOPKINSVILLE, KY 42240-1981
(270) 887-0348
(270) 885-3791
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
01
—
P02415
STATE LICENSE
KY
Enumeration date
06/14/2006
Last updated
08/12/2026
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