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Organization

GREENBURG DICOUNT PHARMACY LLC

Active
Other names
GREENSBURG PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN MILLER RPH (CEO)
(606) 688-4330
Entity
Organization

Contact information

Practice address
1911 CAMPBELLSVILLE RD, GREENSBURG, KY 42743-7758
(270) 932-2525
(270) 932-2526
Mailing address
PO BOX 1347, COLUMBIA, KY 42728-6347
(270) 385-9139
(270) 385-9083

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336C0003X
Community/Retail Pharmacy
Primary
P07151
KY
3336H0001X
Home Infusion Therapy Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1826188
NCPDP PROVIDER IDENTIFICATION NUMBER
05
54000062
KY
Enumeration date
11/21/2006
Last updated
05/27/2010
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