Organization
MEDICAL ARTS PHARMACY OF GLASGOW, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TREVOR RAY PHARMD (OWNER)
(270) 651-7030
Entity
Organization
Contact information
Practice address
1220 N RACE ST, GLASGOW, KY 42141-3462
(270) 651-7030
(270) 651-9948
Mailing address
1220 NORTH RACE STREET, GLASGOW, KY 42141-3455
(270) 651-7030
(270) 651-9948
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1815882
NCPDP NUMBER
—
05
—
54019021
—
KY
Enumeration date
10/03/2006
Last updated
11/21/2022
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