Organization
J MILLS ENTERPRISES LLC
Active
Organization
J MILLS ENTERPRISES LLC
Active
Other names
Owensboro Family Pharmacy and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
JESICA MILLS PHARMD, MBA (OWNER, MANAGING MEMBER, AO,PIC)
(270) 485-2150
Entity
Organization
Contact information
Practice address
720 W BYERS AVE, OWENSBORO, KY 42303-6330
(270) 683-2400
(270) 685-4825
Mailing address
720 W BYERS AVE, OWENSBORO, KY 42303-6330
(270) 683-2400
(270) 685-4825
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07744
KY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2156184
PK
—
05
—
7100392900
—
KY
Enumeration date
12/21/2015
Last updated
07/19/2018
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