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Organization

CLARK DRUGS INC

Active
Other names
CLARK DRUGS
Organization subpart
No

Provider details

NPI number
Authorized official
LONUS ALAN FLENER RPH (PRESIDENT/OWNER)
(270) 524-3669
Entity
Organization

Contact information

Practice address
500 MAIN STREET, MUNFORDVILLE, KY 42765
(270) 524-3669
(270) 524-5891
Mailing address
PO BOX 127, MUNFORDVILLE, KY 42765-0127
(270) 524-3669
(270) 524-5891

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
P00667
KY
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
P00667
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000069996
DME
KY
05
7100166090
KY
05
7100166100
KY
Enumeration date
07/11/2005
Last updated
09/02/2025
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