Organization
MEDICAL CENTER PHARMACY, INC.
Active
Organization
MEDICAL CENTER PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH A GENTRY PHARM (SECRETARY)
(270) 684-3414
Entity
Organization
Contact information
Practice address
1010 MEDICAL CENTER DR, POWDERLY, KY 42367-5463
(270) 338-9993
(270) 338-9903
Mailing address
1010 MEDICAL CENTER DR, POWDERLY, KY 42367-5463
(270) 338-9993
(270) 338-9903
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100200080
—
KY
01
—
P06622
STATE LICENSE NUMBER
KY
Enumeration date
12/04/2006
Last updated
03/07/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up