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Organization

CLAYWELL, INC

Active
Other names
Medica Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
ALYSON R ROBY (OWNER)
(502) 348-6623
Entity
Organization

Contact information

Practice address
1092 LINCOLN PARK RD, SPRINGFIELD, KY 40069
(859) 481-7100
(859) 481-7104
Mailing address
202 W STEPHEN FOSTER AVE, BARDSTOWN, KY 40004-1478
(502) 348-6623
(502) 348-7704

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100417850
KY
Enumeration date
08/17/2016
Last updated
12/29/2022
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