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Organization

HATCHETT HOME MEDICAL EQUIPMENT INC

Active
Other names
PARK AVENUE PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT CALVERT (SECRETARY TREASURER AND MGR)
(270) 651-5156
Entity
Organization

Contact information

Practice address
131 PARK AVE, GLASGOW, KY 42141-3226
(270) 651-5156
(270) 651-1096
Mailing address
PO BOX 39, GLASGOW, KY 42142-0039
(270) 651-5156

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
P02540
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2028683
PK
05
54029129
KY
05
90030057
KY
Enumeration date
03/01/2007
Last updated
02/20/2017
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