Organization
BATH HOMETOWN PHARMACY INC
Active
Other names
BATH HOMETOWN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY AMBURGEY (EXECUTOR OF ESTATE)
(859) 582-8000
Entity
Organization
Contact information
Practice address
19 MILLER DR, OWINGSVILLE, KY 40360-2212
(606) 674-2423
(606) 674-2451
Mailing address
19 MILLER DR, OWINGSVILLE, KY 40360-2212
(606) 674-2423
(606) 674-2451
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07202
KY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2034990
PK
—
05
—
7100008240
—
KY
05
—
7100017540
—
KY
Enumeration date
08/10/2007
Last updated
04/28/2026
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