Organization
RICK'S PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICK R TIMMONS RPH (OWNER/OPERATOR)
(270) 443-7200
Entity
Organization
Contact information
Practice address
3001 SCHNEIDMAN RD, PADUCAH, KY 42003-3541
(270) 443-7200
(270) 443-8537
Mailing address
3001 SCHNEIDMAN RD, PADUCAH, KY 42003-3541
(270) 443-7200
(270) 443-8537
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
90380734
KY
333600000X
Pharmacy
Primary
PO6149
KY
3336H0001X
Home Infusion Therapy Pharmacy
PO6149
KY
3336L0003X
Long Term Care Pharmacy
PO6149
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1823613
NABP#
KY
05
—
54030697
—
KY
05
—
90380734
—
KY
Enumeration date
07/02/2005
Last updated
11/05/2013
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