Organization
WILMORE PHARMACIST GROUP, LLC
Active
Other names
Med-Save Wilmore, sims drug store
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN J MCDANIEL (PHARMACIST)
(859) 858-2453
Entity
Organization
Contact information
Practice address
201 E MAIN ST, WILMORE, KY 40390-1321
(859) 858-2453
(859) 858-2436
Mailing address
201 E MAIN ST, WILMORE, KY 40390-1321
(859) 858-2453
(859) 858-2436
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
P06971
KY
3336C0003X
Community/Retail Pharmacy
Primary
P06971
KY
3336L0003X
Long Term Care Pharmacy
P06971
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54008313
—
KY
Enumeration date
09/15/2006
Last updated
05/07/2025
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