Organization
CPHARMA INC
Active
Other names
Cull Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW CULL RPH (PRESIDENT,OWNER,AO)
(502) 484-3611
Entity
Organization
Contact information
Practice address
965 HIGHWAY 127 N, OWENTON, KY 40359-9302
(502) 484-3046
(502) 484-1032
Mailing address
965 HIGHWAY 127 N, OWENTON, KY 40359-9302
(502) 484-3046
(502) 484-1032
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07586
KY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2141505
PK
—
05
—
7100260950
—
KY
Enumeration date
08/05/2013
Last updated
08/16/2016
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