Organization
RADCLIFF PHARMACY LLC
Active
Other names
RADCLIFF PHARMACY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
NAVAS YOONUS (OWNER, CEO)
(615) 525-3142
Entity
Organization
Contact information
Practice address
800 W LINCOLN TRAIL BLVD STE 100, RADCLIFF, KY 40160-2671
(270) 351-7400
(270) 351-7474
Mailing address
800 W LINCOLN TRAIL BLVD STE 100, RADCLIFF, KY 40160-2671
(270) 900-1584
(270) 900-1594
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P07533
KY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2137761
PK
—
Enumeration date
11/08/2012
Last updated
05/18/2020
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