Organization
RXSHOP
Active
Other names
PRESCRIPTION SHOP
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDALL T YOUNG RPH (PHARMACY OPERATIONS MANAGER)
(270) 597-2181
Entity
Organization
Contact information
Practice address
1571 KY HIGHWAY 259 N, BROWNSVILLE, KY 42210-9206
(270) 597-2181
(270) 936-8602
Mailing address
1571 KY HIGHWAY 259 N, PO BOX 540, BROWNSVILLE, KY 42210-9206
(270) 597-2181
(270) 936-8602
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P07732
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1803104
NCPDP NUMBER
—
Enumeration date
10/03/2005
Last updated
08/26/2016
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