Organization
GREENSBURG DISCOUNT PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM MATTHEWS (LPN)
(606) 387-0023
Entity
Organization
Contact information
Practice address
1911 CAMPBELLSVILLE RD, GREENSBURG, KY 42743-7758
(270) 932-2525
(270) 932-2526
Mailing address
1911 CAMPBELLSVILLE RD, GREENSBURG, KY 42743-7758
(270) 932-2525
(270) 932-2526
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
P07151
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54000062
—
KY
Enumeration date
03/28/2007
Last updated
08/22/2020
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