Organization
GOWER PHARMACY, INC.
Active
Other names
MEDSTOP MEDICAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER SHARSHON R.PH (OWNER)
(305) 803-1693
Entity
Organization
Contact information
Practice address
753 W BROADWAY ST, LAWRENCEBURG, KY 40342-1385
(502) 839-3418
(502) 839-3064
Mailing address
753 W BROADWAY ST, LAWRENCEBURG, KY 40342-1385
(502) 839-3418
(502) 839-3064
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
P07447
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100167830
—
KY
Enumeration date
01/03/2007
Last updated
09/01/2011
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