Organization
VALUE RX BLUEGRASS LLC
Active
Other names
Cayce's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TODD WALTERS R.PH. (OWNER)
(270) 886-4466
Entity
Organization
Contact information
Practice address
1112 W 7TH ST, HOPKINSVILLE, KY 42240-1818
(270) 886-4466
(270) 886-8915
Mailing address
1112 WEST 7TH ST, PO BOX 4022, HOPKINSVILLE, KY 42241
(270) 886-4466
(270) 886-8915
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
P07815
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54017348
—
KY
05
—
90120247
—
KY
Enumeration date
11/02/2005
Last updated
05/10/2017
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