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Organization

BARDSTOWN PHARMACY SERVICES, LLC

Active
Other names
Crume Drug Store
Organization subpart
No

Provider details

NPI number
Authorized official
GARY OSBORNE (MANAGING MEMBER)
(502) 348-3938
Entity
Organization

Contact information

Practice address
111 W FLAGET ST, BARDSTOWN, KY 40004-1422
(502) 348-3938
(502) 348-3434
Mailing address
111 W FLAGET ST, BARDSTOWN, KY 40004-1422
(502) 348-3938
(502) 348-3434

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
P07599
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2144840
PK
Enumeration date
03/24/2014
Last updated
03/24/2014
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