Organization
ST CLAIRE REGIONAL MEDICAL CENTER
Active
Organization
ST CLAIRE REGIONAL MEDICAL CENTER
Active
Other names
ST CLAIRE PRIMARY CARE BATH CO PH
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD H LLOYD II (CEO/PRESIDENT)
(606) 783-6502
Entity
Organization
Contact information
Practice address
632 SLATE AVE, OWINGSVILLE, KY 40360
(606) 674-6177
(606) 674-3096
Mailing address
PO BOX 1120, OWINGSVILLE, KY 40360-1120
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PO1413
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1813256
OTHER ID NUMBER
—
05
—
5401692800
—
KY
05
—
9003006500
—
KY
Enumeration date
02/16/2007
Last updated
08/17/2023
Update your record
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