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
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