Organization
APOTHECARE PHARMACY OF ELIZABETHTOWN P S C
Active
Other names
ApotheCARE Pharmacy III
Organization subpart
No
Provider details
NPI number
Authorized official
GARY HAMM (PRESIDENT)
(270) 234-3907
Entity
Organization
Contact information
Practice address
189 E LINCOLN TRAIL BLVD, RADCLIFF, KY 40160-1253
(270) 352-0303
(270) 352-0101
Mailing address
189 E LINCOLN TRAIL BLVD, RADCLIFF, KY 40160-1253
(270) 352-0303
(270) 352-0101
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07481
KY
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2133160
PK
—
05
—
7100188890
—
KY
Enumeration date
12/12/2011
Last updated
03/29/2016
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