Organization
GLASGOW PRESCRIPTION CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES ROBERT OLIVER RPH (OWNER)
(270) 651-8889
Entity
Organization
Contact information
Practice address
615 S L ROGERS WELLS BLVD, GLASGOW, KY 42141-1074
(270) 651-8889
(270) 651-6198
Mailing address
615 S L ROGERS WELLS BLVD, GLASGOW, KY 42141-1074
(270) 651-8889
(270) 651-6198
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
P00471
KY
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
P00471
KY
332BX2000X
Oxygen Equipment & Supplies (DME)
MG0696
KY
3336C0003X
Community/Retail Pharmacy
P00471
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000069992
DME
KY
05
—
90010059
—
KY
Enumeration date
07/11/2005
Last updated
09/25/2015
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