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Organization

POOLES PHARMACY CARE INC

Active
Other names
Poole's Pharmacy Care
Organization subpart
No

Provider details

NPI number
Authorized official
RON POOLE (OWNER, PRESIDENT,)
(270) 754-1545
Entity
Organization

Contact information

Practice address
159 S MAIN ST, GREENVILLE, KY 42345-1539
(270) 338-6060
(270) 338-5060
Mailing address
PO BOX 91, LIVERMORE, KY 42352-0091
(270) 278-2367
(270) 278-2368

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
P07665
KY
3336C0004X
Compounding Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2149269
PK
05
7100326790
KY
Enumeration date
12/10/2014
Last updated
05/16/2016
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