Organization
C H & R LLC
Active
Other names
Northgate Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MYRA RAY RPH (OWNER, PIC, AO)
(270) 842-6161
Entity
Organization
Contact information
Practice address
3158 LOUISVILLE RD, BOWLING GREEN, KY 42101-7102
(270) 842-6161
(270) 782-7466
Mailing address
3158 LOUISVILLE RD, BOWLING GREEN, KY 42101-7102
(270) 842-6161
(270) 782-7466
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07278
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2152518
PK
—
05
—
7100360690
—
KY
Enumeration date
12/27/2006
Last updated
11/09/2022
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