Organization
BARDWELL PHARMACY LLC
Active
Parent organization
BARDWELL PHARMACY LLC
Other names
Bardwell Pharmacy DME
Organization subpart
Yes
Provider details
NPI number
Legal business name
BARDWELL PHARMACY LLC
Authorized official
DR. CHRIS AUGUSTUS PHARMD (OWNER/PHARMACIST)
(270) 628-5445
Entity
Organization
Contact information
Practice address
178 US HIGHWAY 51 N, BARDWELL, KY 42023-9096
(270) 628-5445
(270) 628-3179
Mailing address
PO BOX 335, BARDWELL, KY 42023-0335
(270) 628-5445
(270) 628-3179
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
333600000X
Pharmacy
—
—
Other
Enumeration date
02/27/2020
Last updated
02/27/2020
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