Organization
CK LEWIS ENTERPRISES INC
Active
Other names
Bluegrass Apothecary
Organization subpart
No
Provider details
NPI number
Authorized official
CARL LEWIS RPH (OWNER)
(270) 926-4080
Entity
Organization
Contact information
Practice address
3000 ALVEY PARK DR W, OWENSBORO, KY 42303-4099
(270) 926-4080
(270) 684-4407
Mailing address
3000 ALVEY PARK DR W, OWENSBORO, KY 42303-4099
(270) 926-4080
(270) 684-4407
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P06865
KY
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2034084
PK
—
05
—
54005020
—
KY
Enumeration date
12/21/2006
Last updated
07/07/2025
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