Organization
GAP DRUG LLC
Active
Other names
GAP DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY CARNES (OWNER)
(270) 566-1074
Entity
Organization
Contact information
Practice address
233 PUMPHOUSE RD, SOMERSET, KY 42503-4347
(606) 425-4234
(606) 802-2266
Mailing address
233 PUMPHOUSE RD, SOMERSET, KY 42503-6063
(606) 425-4234
(606) 802-2266
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
P07824
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2167292
PK
—
05
—
7100470530
—
KY
Enumeration date
02/08/2017
Last updated
06/21/2024
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