Organization
BARDWELL PHARMACY LLC
Active
Parent organization
BARDWELL PHARMACY LLC
Other names
Bardwell Pharmacy LTC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BARDWELL PHARMACY LLC
Authorized official
CHRIS AUGUSTUS (OWNER)
(270) 628-5445
Entity
Organization
Contact information
Practice address
178 US HWY 51N, BARDWELL, KY 42023
(270) 628-5445
(618) 628-3179
Mailing address
178 US HWY 51N, BARDWELL, KY 42023
(270) 628-5445
(618) 628-3179
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
P07718
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2177467
PK
—
05
—
54020524
—
KY
Enumeration date
04/27/2018
Last updated
11/18/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
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