Organization
MEDICAL ARTS PHARMACY OF GLASGOW, INC.
Active
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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