Organization
SMITH-MCKENNEY COMPANY INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. S GREG HAYSE PHARMACIST (OWNER)
(502) 633-2115
Entity
Organization
Contact information
Practice address
16 VILLAGE PLZ, SHELBYVILLE, KY 40065-1745
(502) 633-2115
(502) 633-1133
Mailing address
PO BOX 547, SHELBYVILLE, KY 40066-0547
(502) 633-2115
(502) 633-1133
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
KY
333600000X
Pharmacy
Primary
PO6369
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000065348
ANTHEM BCBS
—
01
—
1068524
PASSPORT
—
Enumeration date
07/28/2005
Last updated
07/21/2022
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