Organization
BLUEGRASS DRUG CENTER, INC.
Active
Other names
Bluegrass Drug Center
Organization subpart
No
Provider details
NPI number
Authorized official
ERIK GROVE (OWNER/PRESIDENT)
(502) 255-3540
Entity
Organization
Contact information
Practice address
325 HIGHWAY 42 E, BEDFORD, KY 40006-7624
(502) 255-3540
(502) 255-3615
Mailing address
835 W MAIN ST, MADISON, IN 47250-3131
(812) 265-4621
(812) 273-6666
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P07452
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2130610
PK
—
05
—
7100162110
—
KY
Enumeration date
05/26/2011
Last updated
03/30/2016
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