Organization
MEDICA INC
Active
Organization
MEDICA INC
Active
Other names
Medica Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
J LEON CLAYWELL PHARMD (PRESIDENT/ CEO)
(502) 543-2423
Entity
Organization
Contact information
Practice address
181 HIGHWAY 44 E, SUITE 5, SHEPHERDSVILLE, KY 40165-6081
(502) 543-2423
(502) 531-9474
Mailing address
181 HIGHWAY 44 E, SUITE 5, SHEPHERDSVILLE, KY 40165-6081
(502) 543-2423
(502) 531-9474
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
P06095
KY
3336C0003X
Community/Retail Pharmacy
Primary
1371
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54030143
—
KY
05
—
90060153
—
KY
Enumeration date
07/16/2006
Last updated
07/17/2014
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