Organization
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INCORPORATED
Active
Parent organization
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER INCORPORATED
Other names
Ephraim McDowell Bluegrass Drug Store
Organization subpart
Yes
Provider details
NPI number
Legal business name
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER INCORPORATED
Authorized official
SARAH VICKEY (PHARM.D.)
(859) 239-1706
Entity
Organization
Contact information
Practice address
150 WAR ADMIRAL STE 1, DANVILLE, KY 40422-8690
(859) 239-3535
Mailing address
150 WAR ADMIRAL STE 1, DANVILLE, KY 40422-8690
(859) 239-3535
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P08354
(NON-MEDICARE)
KY
Enumeration date
08/28/2024
Last updated
08/28/2024
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